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Individual

SEBASTIAN COMBES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
2170 SOUTH AVE, SOUTH LAKE TAHOE, CA 96150-7026
(530) 543-5896
(530) 544-6512
Mailing address
PO BOX 9578, SOUTH LAKE TAHOE, CA 96158-9578
(530) 543-5896
(530) 544-6512

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
10085
CA
225200000X
Physical Therapy Assistant
A-0723
NV

Other

Enumeration date
03/08/2016
Last updated
03/17/2018
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