Individual provider · Type 1 NPI
Richard John Waldron, PT
Orthopedic Physical Therapist · San Rafael, CA
Practice location
1099 D Street Suite 105
San Rafael, CA 94901-2839
Mailing address
257 Ethel Ave
Mill Valley, CA 94941-2731
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist | 225100000X | PT15104 (CA) |
| Orthopedic Physical Therapist Primary | 2251X0800X | PT15104 (CA) |
Orthopedic Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based prac…
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About NPI 1962486464
Richard John Waldron, PT's National Provider Identifier is 1962486464, issued on Nov 30, 2005. The primary taxonomy on file is Orthopedic Physical Therapist (2251X0800X), and the practice location is in San Rafael, CA. The record was last updated on Sep 7, 2012.