Robert Lewis Agnew, PT Valid NPI

Individual provider · Physical Therapist · San Rafael, CA

NPI

1174682132

Type

Individual (Type 1)

Primary specialty

Physical Therapist

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

225100000X

License number

21709 (CA)

Sex

Male

Sole proprietor

Yes

Enumerated

2006-12-06

Last updated

2022-02-11