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Contact Information

ROBERT L AGNEW I, PT
99 MONTICELLO ROAD, MOB2
SAN RAFAEL, CA94903
 Phone: 415-444-4285
 Fax: 415-444-2556
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for ROBERT L AGNEW I · (Male)

NPI Number 1174682132
Status Active
Credentials PT (Physical Therapist)
Entity Individual
Enumeration date 12/06/2006
Last updated 02/11/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 21709
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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