Dr. Jessica Grubaugh, D.P.T.
Physical Therapist in Sonoma, CA. Individual provider (NPI-1).
NPI number1861942575
StatusActive
Last updated in NPPESOct 5, 2016
Details
- NPI
- 1861942575
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jessica Grubaugh
- Credential
- D.P.T.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 5, 2016
- Last updated
- Oct 5, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT292055 | CA | Yes |
Practice location
17231 Park AveSonoma, CA 95476-8507
Phone 415-606-3911
Mailing address
17231 Park AveSonoma, CA 95476-8507
Phone 415-606-3911
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