Physical Therapy at the Health Club

NPI #1518050442 in Ukiah, California

Provider Information

NPI Number: 1518050442
Entity Type: Organization
Organization Name: Physical Therapy at the Health Club
Primary Specialty: Physical Therapist
Enumeration Date: Oct 2, 2006
Last Updated: Oct 3, 2007

Practice Location

Address: 3101 SOUTH STATE STREET
Address 2: SUITE A
City: Ukiah
State: California
ZIP Code: 95482
Phone: (707) 468-3844

Authorized Official

Name: MR. ROBERT BLENNE HASSETT, PT
Title: CO OWNER OF BUSINESS
Phone: (707) 468-3844

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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