Organization
THE KNEE JOINT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD WALDRON PT (PRESIDENT)
(415) 302-0456
Entity
Organization
Contact information
Practice address
23 REED BLVD, MILL VALLEY, CA 94941-2301
(415) 302-0456
Mailing address
257 ETHEL AVE, MILL VALLEY, CA 94941-2731
(415) 302-0456
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT15104
CA
Other
Enumeration date
02/03/2012
Last updated
04/20/2012
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