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Organization
RICHARD P. CARR PHYSICAL THERAPY INC
Active
Organization
RICHARD P. CARR PHYSICAL THERAPY INC
Active
Other names
Williamson/Hahn Physical Therapy and Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONATHAN DOCKERY (VICE PRESIDENT OF REVENUE CYCLE)
(760) 602-4105
Entity
Organization
Contact information
Practice address
1505 MERIDIAN AVE, STE A, SAN JOSE, CA 95125-5353
(408) 264-6643
(408) 264-6652
Mailing address
1505 MERIDIAN AVE, STE A, SAN JOSE, CA 95125-5353
(408) 264-6643
(408) 264-6652
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
196223400
DOL
CA
01
—
3134934
CIGNA
CA
01
—
7409638
AETNA
CA
01
—
ZZZ60370Z
BLUESHIELD
CA
Enumeration date
11/22/2005
Last updated
02/05/2016
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