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Organization
PACIFIC THERAPY AND REHAB, INC
Active
Organization
PACIFIC THERAPY AND REHAB, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT M CHAN (VICE PRESIDENT)
(408) 832-9656
Entity
Organization
Contact information
Practice address
696 E SANTA CLARA ST, SUITE 209, SAN JOSE, CA 95112-1911
(408) 993-9200
Mailing address
PO BOX 610638, SAN JOSE, CA 95161-0638
(408) 832-9656
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT5979
CA
Other
Enumeration date
12/27/2006
Last updated
07/31/2008
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