Search › California › 225100000X
Agnes Van De Put, PT
NPI 1588812721 · on the registry since 2008 · sole proprietor
Practice
- Address
- 6914 Sebastopol Ave
Sebastopol, CA 95472 - Phone
- (707) 327-0998
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Also registered as
- 225100000X
- Licence states on file
- HI, CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-09-06
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