Organization
SPORT & SPINE THERAPY OF MARIN INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN THOMPSON (OWNER/CEO)
(415) 898-1311
Entity
Organization
Contact information
Practice address
719 SOUTHPOINT BLVD, SUITE A, PETALUMA, CA 94954-1495
(707) 981-8062
(707) 981-8684
Mailing address
PO BOX 950, NOVATO, CA 94948-0950
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
Other
Enumeration date
03/02/2016
Last updated
10/08/2020
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