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Organization
SPORT CLINIC
Active
Organization
SPORT CLINIC
Active
Other names
Mark Sasao, MPT
Organization subpart
No
Provider details
NPI number
Authorized official
JANINE MICHELLE SASAO (OFFICE MANAGER)
(408) 559-5119
Entity
Organization
Contact information
Practice address
3756 S BASCOM AVE, SAN JOSE, CA 95124-2662
(408) 559-5119
(408) 559-5139
Mailing address
3756 S BASCOM AVE, SAN JOSE, CA 95124-2662
(408) 559-5119
(408) 559-5139
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
155070
CA
Other
Enumeration date
10/05/2011
Last updated
10/05/2011
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