Individual
TRACY NIEDERBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
944 CASHEL CIR, VACAVILLE, CA 95688-8572
(650) 758-4700
Mailing address
944 CASHEL CIR, VACAVILLE, CA 95688-8572
(650) 758-4700
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
6259
CA
Other
Enumeration date
01/23/2009
Last updated
01/23/2009
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