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MR. PETER W MCCANN P.T.

>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1215004288

Individual Registrant:
MR. PETER W MCCANN P.T.
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

Contact information for business:
39120 CYPRESS WAY  GUALALA, CA 95445-8310 US
Tel: 707-884-4800  Fax: 707-884-4808

Registration Information:
NPI: 1215004288
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
CA00PT6431

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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