Individual
DEBORAH PRUDHOMME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
20400 SARATOGA LOS GATOS RD, SARATOGA, CA 95070-5927
(408) 741-2983
Mailing address
9850 ROSEBLOOM AVE, FELTON, CA 95018-9044
(831) 246-1176
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
9888
CA
Other
Enumeration date
11/22/2012
Last updated
11/22/2012
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