Individual
MR. JOHN DANIEL STITHEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.S. SCS
Contact information
Practice address
795 FARMERS LN, SUTIE 10, SANTA ROSA, CA 95405-6718
(707) 571-7615
(707) 571-8601
Mailing address
795 FARMERS LN, SUTIE 10, SANTA ROSA, CA 95405-6718
(707) 571-7615
(707) 571-8601
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT12323
CA
Other
Enumeration date
12/19/2005
Last updated
12/05/2007
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