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MR. PETER W MCCANN P.T.
>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1215004288
Individual Registrant:MR. PETER W MCCANN P.T.
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
39120 CYPRESS WAY GUALALA, CA 95445-8310 US
Tel: 707-884-4800 Fax: 707-884-4808
Tel: 707-884-4800 Fax: 707-884-4808
Contact information for business:
39120 CYPRESS WAY GUALALA, CA 95445-8310 US
Tel: 707-884-4800 Fax: 707-884-4808
Tel: 707-884-4800 Fax: 707-884-4808
Registration Information:
NPI: 1215004288
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapist | CA | 00PT6431 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
