| California Spine, Sports And Rehabilitation | |
|
591 Redwood Highway Suite 5285 Mill Valley CA 94941-3064 | |
| (415) 380-1840 | |
| (415) 380-1842 |
| Full Name | California Spine, Sports And Rehabilitation |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 591 Redwood Highway, Mill Valley, California |
| Authorized Official Name and Position | Marsha J Bluto (OWNER) |
| Authorized Official Contact | 4153801840 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| California Spine, Sports And Rehabilitation Po Box 2490 Mill Valley CA 94942-2490 Ph: (415) 380-1840 | California Spine, Sports And Rehabilitation 591 Redwood Highway Suite 5285 Mill Valley CA 94941-3064 Ph: (415) 380-1840 |
| NPI Number | 1255630372 |
|---|---|
| Provider Enumeration Date | 03/16/2011 |
| Last Update Date | 08/09/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255630372 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | A106091 (California) | Primary |
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