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Organization
INTEGRATED PHYSICAL THERAPY AND WELLNESS INC
Active
Organization
INTEGRATED PHYSICAL THERAPY AND WELLNESS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIJAYALAKSHMI NATARAJAN PT (PRESIDENT/ CEO)
(510) 504-2061
Entity
Organization
Contact information
Practice address
10159 N BLANEY AVE, CUPERTINO, CA 95014-2329
(510) 504-2061
Mailing address
PO BOX 192, CUPERTINO, CA 95015-0192
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT28277
PT BOARD OF CA
CA
Enumeration date
04/27/2020
Last updated
04/27/2020
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