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Organization
NOE VALLEY PHYSICAL THERAPY
Active
Organization
NOE VALLEY PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA J KAUFMAN-NELSON PT (OWNER)
(415) 821-4148
Entity
Organization
Contact information
Practice address
1579 SANCHEZ ST, SAN FRANCISCO, CA 94131-2329
(415) 821-4148
(415) 821-4004
Mailing address
1579 SANCHEZ ST, SAN FRANCISCO, CA 94131-2329
(415) 821-4148
(415) 821-4004
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ29556Z
BLUE SHIELD
CA
Enumeration date
08/14/2006
Last updated
10/09/2007
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