# NIKE THERAPY SERVICES LLC

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

## Provider details

- **NPI number:** 1184302051
- **Authorized official:** TRISHA PATIL (CERTIFIED HAND THERAPIST)
- **Authorized official phone:** (314) 496-8262

## Contact information

- **Practice address:** 1021 S WOLFE ROAD, \#125 CLEARWATER OFFICE BUILDING, SUNNYVALE, CA 94086-8878
- **Practice address phone:** (408) 888-6104
- **Mailing address:** 1075 REED ST, SANTA CLARA, CA 95050-3810
- **Mailing address phone:** (314) 496-8262

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 225XH1200X | Hand Occupational Therapist | — | NULL | Yes |
| 225XH1200X | Hand Occupational Therapist | — | — | Yes |

## Other

- **Enumeration date:** 07/10/2023
- **Last updated:** 07/10/2023