Bethany Susanne Magnuson
Physical Medicine & Rehabilitation, Sports Medicine in Santa Rosa, CA. Individual provider (NPI-1).
NPI number1982197059
StatusActive
Last updated in NPPESJun 12, 2018
Details
- NPI
- 1982197059
- Entity type
- Individual (NPI-1)
- Name
- Bethany Susanne Magnuson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 12, 2018
- Last updated
- Jun 12, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2081S0010X | Physical Medicine & Rehabilitation, Sports Medicine | 070502037 | CA | Yes |
Other names
- Bethany Susanne Hoeschen (Former Name)
Practice location
721 Brentwood DrSanta Rosa, CA 95405-6607
Phone 785-410-8246
Mailing address
721 Brentwood DrSanta Rosa, CA 95405-6607
Phone 785-410-8246
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