Individual
MR. BRODIE GLEN AULD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
4655 RUFFNER ST, SUITE 270, SAN DIEGO, CA 92177
(800) 787-6787
(800) 787-6762
Mailing address
1045 LAS GALLINAS AVE, SAN RAFAEL, CA 94903-2464
(510) 213-2700
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT13675
CA
Other
Enumeration date
01/22/2008
Last updated
02/15/2013
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