# SELECT PHYSICAL THERAPY OF PORTOLA VALLEY LIMITED PARTNERSHIP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Select Physical Therapy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386613073
- **Authorized official:** MICHAEL TARVIN (VICE PRESIDENT)
- **Authorized official phone:** (717) 972-1100

## Contact information

- **Practice address:** 454 FOREST AVE, PALO ALTO, CA 94301-2608
- **Practice address phone:** (650) 331-3700
- **Practice address fax:** (650) 331-3730
- **Mailing address:** 454 FOREST AVE, PALO ALTO, CA 94301-2608
- **Mailing address phone:** (650) 331-3700
- **Mailing address fax:** (650) 331-3730

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/15/2006
- **Last updated:** 03/15/2018