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Organization
ABILITIES UNITED
Active
Organization
ABILITIES UNITED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLIE WEIDANZ (CHIEF EXECUTIVE OFFICER)
(650) 618-3312
Entity
Organization
Contact information
Practice address
3864 MIDDLEFIELD RD, PALO ALTO, CA 94303-4716
(650) 494-0550
(650) 855-9710
Mailing address
525 E CHARLESTON RD, PALO ALTO, CA 94306-4247
(650) 494-0550
(650) 855-9710
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
CA
Other
Enumeration date
09/29/2017
Last updated
09/29/2017
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