Individual
MICHAEL TODD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3161 PUTNAM BLVD, PLEASANT HILL, CA 94523-4650
(925) 943-1119
(925) 943-2493
Mailing address
3161 PUTNAM BLVD, PLEASANT HILL, CA 94523-4650
(925) 943-1119
(925) 943-2493
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary
C51263
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C51263
CFO BOARD OF CERIFICATION
CA
Enumeration date
07/02/2015
Last updated
07/02/2015
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