Nyssa Rosina Midden

NPI #1306330600 in Clearlake, California

Provider Information

NPI Number: 1306330600
Entity Type: Individual
Name: Nyssa Rosina Midden
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Jun 20, 2018
Last Updated: Jun 20, 2018

Practice Location

Address: 14855 OLYMPIC DR
City: Clearlake
State: California
ZIP Code: 95422-9522
Phone: (707) 995-4888

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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