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Organization
OLYMPIC PHYSICAL THERAPY
Active
Organization
OLYMPIC PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF HARBAND P.T. (CEO)
(415) 383-6789
Entity
Organization
Contact information
Practice address
1 BLACKFIELD DR, TIBURON, CA 94920-2053
(415) 383-6789
(415) 383-6744
Mailing address
1 BLACKFIELD DR, TIBURON, CA 94920-2053
(415) 383-6789
(415) 383-6744
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT20057
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DF6085
RAILROAD MEDICARE
—
Enumeration date
09/28/2006
Last updated
09/18/2008
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