Individual
ALICE HAYNER FLAHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
99 MONTECILLO RD, SAN RAFAEL, CA 94903-3308
(415) 444-4331
(415) 444-2556
Mailing address
99 MONTECILLO RD, SAN RAFAEL, CA 94903-3308
(415) 444-4331
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT10629
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT10629
PROFESSIONAL LICENSE
CA
Enumeration date
12/04/2006
Last updated
01/03/2022
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