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Organization
RICHARD P CARR PHYSICAL THERAPY INC
Active
Organization
RICHARD P CARR PHYSICAL THERAPY INC
Active
Other names
Santa Clara Sports Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
ANNE LASSON (VICE PRESIDENT)
(408) 570-0510
Entity
Organization
Contact information
Practice address
2488 DE LA CRUZ BLVD, SANTA CLARA, CA 95050-2923
(408) 247-7278
(408) 247-9320
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
—
1799574
CIGNA
CA
01
—
8154566
AETNA
CA
01
—
ZZZ02429Z
BLUESHIELD
CA
Enumeration date
11/18/2005
Last updated
01/28/2008
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