Individual
MR. BRIAN EDWARD HAUSWIRTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPT
Contact information
Practice address
5 BON AIR RD, SUITE #218, LARKSPUR, CA 94939-1143
(415) 927-3325
Mailing address
15 WALLACE WAY, SAN RAFAEL, CA 94903-3732
(415) 507-0266
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT12679
CA
Other
Enumeration date
07/11/2006
Last updated
07/08/2007
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