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Organization
RICHARD P CARR PHYSICAL THERAPY INC
Active
Organization
RICHARD P CARR PHYSICAL THERAPY INC
Active
Other names
Calaveras Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
ANNE LASSON VP (VICE PRESIDENT)
(408) 570-0510
Entity
Organization
Contact information
Practice address
500 E CALAVERAS BLVD, SUITE 112, MILPITAS, CA 95035-7703
(408) 934-4700
(408) 934-4701
Mailing address
500 E CALAVERAS BLVD, SUITE 112, MILPITAS, CA 95035-7703
(408) 934-4700
(408) 934-4701
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1411340
CIGNA
CA
01
—
196223400
DOL
—
01
—
7803529
AETNA
CA
01
—
ZZZ56822Z
BLUE SHIELD
—
Enumeration date
11/18/2005
Last updated
11/30/2016
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