# CAPITOLA PHYSICAL THERAPY INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013027119
- **Authorized official:** MS. MARIA AGUILERA (OFFICE MANAGER)
- **Authorized official phone:** (831) 475-1200

## Contact information

- **Practice address:** 1200 41ST AVE, SUITE H, CAPITOLA, CA 95010
- **Practice address phone:** (831) 475-1200
- **Practice address fax:** (831) 475-0142
- **Mailing address:** 1200 41ST AVE, SUITE H, CAPITOLA, CA 95010
- **Mailing address phone:** (831) 475-1200
- **Mailing address fax:** (831) 475-0142

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/30/2006
- **Last updated:** 10/23/2017