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Organization
CUPERTINO PHYSICAL THERAPY, INC
Active
Organization
CUPERTINO PHYSICAL THERAPY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACY ALVARES PT (PHYSICIAL THERAPIST)
(213) 379-1700
Entity
Organization
Contact information
Practice address
1054 S DE ANZA BLVD STE 120, SAN JOSE, CA 95129-3553
(408) 873-8188
(408) 873-8138
Mailing address
1054 S DE ANZA BLVD STE 120, SAN JOSE, CA 95129-3553
(408) 873-8188
(408) 873-8138
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT24482
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DE3340
RAILROAD MEDICARE
—
01
—
ZZZ65626Z
BLUE SHIELD
CA
Enumeration date
07/21/2006
Last updated
01/08/2026
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