# ALPINE PHYSICAL THERAPY AND FITNESS

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

## Provider details

- **NPI number:** 1215716097
- **Authorized official:** BRANDAN PESA (OWNER, PHYSICAL THERAPIST)
- **Authorized official phone:** (845) 594-4195

## Contact information

- **Practice address:** 3130 ALPINE RD STE 370, PORTOLA VALLEY, CA 94028-7547
- **Practice address phone:** (650) 242-0777
- **Mailing address:** 3130 ALPINE RD STE 370, PORTOLA VALLEY, CA 94028-7547
- **Mailing address phone:** (650) 242-0777

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 09/21/2023
- **Last updated:** 09/21/2023