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MEREDITH LESLIE ERIN FRUCHTENICHT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2500 OLD CROW CANYON RD, BUILDING 100 SUITE 112, SAN RAMON, CA 94583-1623
(925) 362-0683
Mailing address
2500 OLD CROW CANYON RD, BUILDING 100 SUITE 112, SAN RAMON, CA 94583-1623

Taxonomy

Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT26775
CA

Other

Enumeration date
09/15/2010
Last updated
09/15/2010
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