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Organization
THERAPISTA, INC.
Active
Organization
THERAPISTA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANGELA DAWN ISAAC PT (PRESIDENT)
(415) 648-0196
Entity
Organization
Contact information
Practice address
630 MOULTRIE ST, SAN FRANCISCO, CA 94110-6034
(415) 648-0196
(415) 374-7058
Mailing address
630 MOULTRIE ST, SAN FRANCISCO, CA 94110-6034
(415) 648-0196
(415) 374-7058
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
2251P0200X
Pediatric Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
—
—
225XL0004X
Low Vision Occupational Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
10/26/2006
Last updated
11/24/2009
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