Individual
AARON PELTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.T.
Contact information
Practice address
101 WIKIUP DR, SUITE B, SANTA ROSA, CA 95403-1375
(707) 542-5400
(707) 542-5401
Mailing address
101 WIKIUP DR, SUITE B, SANTA ROSA, CA 95403-1375
(707) 542-5400
(707) 542-5401
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 28597
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0PT285970
BLUE SHIELD ID NUMBER
CA
Enumeration date
06/03/2006
Last updated
07/08/2007
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