Jeremy Ryan Faust, PHYSICAL THERAPIST

NPI #1134102544 in Benicia, California

Provider Information

NPI Number: 1134102544
Entity Type: Individual
Name: Jeremy Ryan Faust, PHYSICAL THERAPIST
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PHYSICAL THERAPIST
Enumeration Date: Nov 21, 2005
Last Updated: May 29, 2008

Practice Location

Address: 860 SOUTHAMPTON RD
City: Benicia
State: California
ZIP Code: 94510-1907
Phone: (707) 745-6144

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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