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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JEFFERSON DAVID

Active Sole Proprietor

JEFFERSON DAVID is a Physical Therapy Assistant healthcare provider located in SANTA ROSA, California. NPI 1699346957 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · SANTA ROSA, CA

Registration Details

NPI Number
1699346957
Provider Type
Individual
Gender
Male
NPI Issued
Jul 8, 2021 (5.0974068503377 yrs)
Last Updated
Jul 9, 2021
License
295052 (CA)
Sole Proprietor
Yes

Practice Information

Address
300 FOUNTAINGROVE PKWY
SANTA ROSA, CA, 954035720
Browse CA providers · Browse ZIP 95403
Phone
7073595005
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in SANTA ROSA, CA

Name Credential NPI
JEFFREY PETER FRANCESCHI MS PT 1033181391
PAMELA ANN FRANCESCHI PT 1700859204
MR. SAM CARDENAS P.T. 1649249921
MS. KATHLEEN DALTON P.T. 1851351209
MR. PATRICK DALTON P.T. 1265494132
JULIE K LANDECKER DPT 1780647693
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.