Individual
DAVID ERIC RAUCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.A.
Contact information
Practice address
1291 CRAIG AVE, LAKEPORT, CA 95453-5704
(707) 263-6382
Mailing address
1005 VIRGINIA AVE, WEST SACRAMENTO, CA 95691-3324
(360) 296-4076
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
8712
OR
Other
Enumeration date
09/20/2012
Last updated
09/20/2012
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