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Misty Black, PTA
NPI 1043386220 · on the registry since 2006
Practice
- Address
- 100 Pleasant Hill Ave N
Sebastopol, CA 95472 - Phone
- (707) 829-3282
- Fax
- (707) 829-3287
- Organisation at this address
- Sebastopol Physical Therapy And Pilates Studio
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 10
Registry record
- Primary taxonomy
- Physical Therapy Assistant
225200000X
- Also registered as
- Physical Therapist
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-03-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California