Individual
MR. MICHAEL MAGGID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1455 RICHARDSON CT, SANTA ROSA, CA 95407-7488
(707) 762-3603
Mailing address
1455 RICHARDSON CT, SANTA ROSA, CA 95407-7488
(707) 762-3603
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA3733
CA
Other
Enumeration date
01/02/2017
Last updated
01/02/2017
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