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Organization
RICHARD P CARR PHYSICAL THERAPY INC
Active
Organization
RICHARD P CARR PHYSICAL THERAPY INC
Active
Other names
Rehab Outcome Management
Organization subpart
No
Provider details
NPI number
Authorized official
ANNE LASSON (VICE PRESIDENT)
(408) 570-0510
Entity
Organization
Contact information
Practice address
125 N JACKSON AVE, STE 204, SAN JOSE, CA 95116-1903
(408) 254-7730
(408) 254-7366
Mailing address
246 SOBRANTE WAY, SUNNYVALE, CA 94086-4807
(408) 733-3670
(408) 245-7968
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5293019
AETNA
CA
01
—
7660064
CIGNA
CA
01
—
ZZZ04943Z
BLUESHIELD
CA
Enumeration date
11/22/2005
Last updated
01/28/2008
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