AGNES VAN DE PUT, PT
Physical Therapist
Active
Individual
NPI: 1588812721
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physical Therapist | 225100000X | Yes | 25323 (CA) |
Frequently Asked Questions
NPI 1588812721 is the National Provider Identifier for AGNES VAN DE PUT, PT, a Physical Therapist provider located in Sebastopol, CA. This NPI was enumerated on August 29, 2008.
AGNES VAN DE PUT, PT practices at 6914 SEBASTOPOL AVE, Sebastopol, CA 95472.
Quick Facts
- NPI
- 1588812721
- Type
- Individual
- Enumerated
- Aug 29, 2008
- Last Updated
- Sep 6, 2023
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