| Organization Name: | NOVATO BACK CARE AND SPORTS PHYSICAL THERAPY |
| NPI Number: | 1093945230 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | STEVEN WILLIAM THOMPSON (CEO) |
| Mailing Address: | 165 Rowland Way Suite 101 Novato |
| State: | CA US |
| Postal Code: | 949455038 |
| Phone Number: | 4158981311 |
| Fax Number: | 4158970741 |
| NPI Enumeration Date: | 07/22/2009 |
| NPI Last Update Date: | 07/22/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251X0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Orthopedic |
| Taxonomy Definition: | |