Individual
BRIAN FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ASSOCIATES
Contact information
Practice address
300 FOUNTAINGROVE PKWY, SANTA ROSA, CA 95403-5720
(707) 566-8600
Mailing address
9892 HAMLET CT S, COTTAGE GROVE, MN 55016-4833
(612) 876-8874
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
50328
CA
Other
Enumeration date
09/26/2022
Last updated
09/26/2022
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