Organization
PELTZ AND ASSOCIATES PHYSICAL THERAPY INC
Active
Organization
PELTZ AND ASSOCIATES PHYSICAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AARON P PELTZ PT, DPT, OCS (OWNER/PRESIDENT)
(707) 542-5400
Entity
Organization
Contact information
Practice address
140 WIKIUP DRIVE, SANTA ROSA, CA 95403
(707) 542-5400
(707) 542-5401
Mailing address
140 WIKIUP DRIVE, SANTA ROSA, CA 95403
(707) 542-5400
(707) 542-5401
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ13421Z
BLUE SHIELD GROUP NUMBER
CA
Enumeration date
06/03/2006
Last updated
12/09/2016
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