Organization
PACIFIC STANDARD PHYSICAL THERAPY, INCORPORATED
Active
Organization
PACIFIC STANDARD PHYSICAL THERAPY, INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN LALONDE DPT (OWNER/PHYSICAL THERAPIST)
(480) 202-3669
Entity
Organization
Contact information
Practice address
508 WEBSTER ST, PETALUMA, CA 94952-2456
(480) 202-3669
Mailing address
508 WEBSTER ST, PETALUMA, CA 94952-2456
(480) 202-3669
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
08/07/2022
Last updated
09/13/2023
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