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Organization
PACE PHYSICAL THERAPY
Active
Organization
PACE PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIDYA DEVARAPALLI DPT (OWNER)
(617) 480-4322
Entity
Organization
Contact information
Practice address
3880 S BASCOM AVE STE 106, SAN JOSE, CA 95124-2600
(408) 628-0447
Mailing address
3880 S BASCOM AVE STE 106, SAN JOSE, CA 95124-2600
(408) 628-0447
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
03/21/2019
Last updated
03/21/2019
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