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Organization
P.S.M.R.C., LLC
Active
Organization
P.S.M.R.C., LLC
Active
Other names
Peninsula Sports Medicine and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN RAUENBUEHLER PT (CLINICAL DIRECTOR)
(650) 755-8830
Entity
Organization
Contact information
Practice address
2945 JUNIPERO SERRA BLVD, DALY CITY, CA 94014-2549
(650) 755-8830
(650) 755-8147
Mailing address
2945 JUNIPERO SERRA BLVD, DALY CITY, CA 94014-2549
(650) 755-8830
(650) 755-8147
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GZ817A
MEDICARE PTAN
CA
Enumeration date
11/16/2006
Last updated
04/08/2013
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