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Organization
SPORTFIT PHYSICAL THERAPY INC
Active
Organization
SPORTFIT PHYSICAL THERAPY INC
Active
Other names
Sportfit Physical Therapy I
Organization subpart
No
Provider details
NPI number
Authorized official
ANNE LASSON VP (VICE PRESIDENT)
(408) 570-0510
Entity
Organization
Contact information
Practice address
350 BOLLINGER CANYON LANE, SUITE A, SAN RAMON, CA 94583
(925) 735-6414
(925) 735-6450
Mailing address
PO BOX 612260, SAN JOSE, CA 95161
(877) 325-2776
(408) 945-4011
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6566104
CIGNA
CA
01
—
8153286
AETNA
CA
01
—
ZZZ40525Z
BLUE SHIELD
—
Enumeration date
11/18/2005
Last updated
10/09/2007
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