Doctor Name: | STEPHANIE KALIVODA |
NPI Number: | 1447503339 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 39506 |
Business Practice Address: | 6759 Sierra Ct Ste A Suite 100 Dublin, CA - 945682657 |
Business Phone Number: | 9258030530 |
Business Fax Number: | |
Mailing Address: | 2600 Stanwell Dr, Suite 104 CONCORD |
State: | CA |
Postal Code: | 945204862 |
Phone Number: | 9256865400 |
Fax Number: | |
NPI Enumeration Date: | 10/17/2012 |
NPI Last Update Date: | 03/17/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 39506 |
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 |