Organization
MITCHELL KAUK
Active
Other names
Petaluma Orthopaedic & Sports Therapy (P.O.S.T.)
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MITCHELL KAUK PT OCS (OWNER DIRECTOR)
(707) 762-7678
Entity
Organization
Contact information
Practice address
224A WELLER ST, PETALUMA, CA 94952-3136
(707) 762-7678
(707) 762-7679
Mailing address
224A WELLER ST, PETALUMA, CA 94952-3136
(707) 762-7678
(707) 762-7679
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT10959
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GPT001480
—
CA
Enumeration date
12/21/2006
Last updated
05/16/2013
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