# THERAPYDIA CALIFORNIA PHYSICAL THERAPY, PC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568186187
- **Authorized official:** LEAH NOTTINGHAM (CPO)
- **Authorized official phone:** (415) 389-8677

## Contact information

- **Practice address:** 1027 NW NORMAN AVE, GRESHAM, OR 97030-5551
- **Practice address phone:** (971) 362-3288
- **Practice address fax:** (971) 353-4990
- **Mailing address:** 18 E BLITHEDALE AVE STE 21, MILL VALLEY, CA 94941-1946
- **Mailing address phone:** (415) 533-4863

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/27/2022
- **Last updated:** 09/27/2022