Organization
BAY AREA SPINE & SPORT, INC
Active
Parent organization
MDRS, INC
Other names
SANTA ROSA SPINE & SPORT
Organization subpart
Yes
Provider details
NPI number
Legal business name
MDRS, INC
Authorized official
JOE L. VERNA DC (CHIEF OPERATING OFFICER)
(888) 208-8526
Entity
Organization
Contact information
Practice address
1801 CLEVELAND AVE, SUITE B, SANTA ROSA, CA 95401-4297
(707) 526-4180
(707) 526-4152
Mailing address
3444 KEARNY VILLA RD, SUITE 200, SAN DIEGO, CA 92123-1959
(888) 208-8526
(858) 751-0901
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
2251E1200X
Ergonomics Physical Therapist
—
—
2251E1300X
Clinical Electrophysiology Physical Therapist
—
—
2251G0304X
Geriatric Physical Therapist
—
—
2251H1200X
Hand Physical Therapist
—
—
2251S0007X
Sports Physical Therapist
—
—
Other
Enumeration date
08/29/2005
Last updated
11/15/2010
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