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Organization
RICHARD P. CARR PHYSICAL THERAPY INC
Active
Organization
RICHARD P. CARR PHYSICAL THERAPY INC
Active
Other names
Burlingame Therapeutic Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONATHAN DOCKERY (VICE PRESIDENT OF REVENUE CYCLE)
(760) 602-4105
Entity
Organization
Contact information
Practice address
1 BAYWOOD AVE, STE 1, SAN MATEO, CA 94402-1523
(650) 348-9400
(650) 348-9402
Mailing address
PO BOX 612260, SAN JOSE, CA 95161-2260
(877) 325-2776
(408) 945-4011
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
196223400
DOL
—
01
—
6798651
CIGNA
CA
01
—
7920285
AETNA
CA
01
—
ZZZ02428Z
BLUE SHIELD
—
Enumeration date
11/22/2005
Last updated
02/05/2016
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