Organization Name: | SILICON VALLEY PHYSICAL THERAPY, INC |
NPI Number: | 1043493562 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ELAINE PUN (CEO) |
Mailing Address: | 171 Jasmine Ct Mountain View |
State: | CA US |
Postal Code: | 940435288 |
Phone Number: | 6508618618 |
Fax Number: | 6509681767 |
NPI Enumeration Date: | 12/06/2007 |
NPI Last Update Date: | 12/06/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | PT23282 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |