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AUTUMN AMBROSE KING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.T.

Contact information

Practice address
670 E CALAVERAS BLVD, MILPITAS, CA 95035-5442
(408) 934-4700
(408) 934-4701
Mailing address
246 SOBRANTE WAY, SUNNYVALE, CA 94086-4807
(408) 733-3670
(408) 245-7968

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 34574
CA

Other

Enumeration date
04/02/2008
Last updated
12/15/2009
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