Doctor Name: | MADHURI JAGADEESH |
NPI Number: | 1073838744 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 23370 |
Business Practice Address: | 30 Las Colinas Ln San Jose, CA - 951191212 |
Business Phone Number: | 4082842812 |
Business Fax Number: | 4082842875 |
Mailing Address: | 30 Las Colinas Ln, SAN JOSE |
State: | CA |
Postal Code: | 951191212 |
Phone Number: | 4082842812 |
Fax Number: | 4082842875 |
NPI Enumeration Date: | 04/06/2010 |
NPI Last Update Date: | 04/06/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 23370 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |