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Organization
SPECTRUM ORTHOPEDIC SPORT THERAPY
Active
Organization
SPECTRUM ORTHOPEDIC SPORT THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH WILLIAM BURNS PT CSCS (PHYSICAL THERAPIST OWNER)
(650) 654-1223
Entity
Organization
Contact information
Practice address
1140 LAUREL ST STE D, SAN CARLOS, CA 94070-5054
(650) 654-1223
(650) 654-1205
Mailing address
1140 LAUREL ST STE D, SAN CARLOS, CA 94070-5054
(650) 654-1223
(650) 654-1205
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
11/06/2007
Last updated
07/26/2022
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