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Organization
INTRAHEALTH PHYSICAL THERAPY
Active
Organization
INTRAHEALTH PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETRA A EGGERT D.C. (PRESIDENT)
(408) 530-0005
Entity
Organization
Contact information
Practice address
21020 HOMESTEAD RD, SUITE 2, CUPERTINO, CA 95014-0240
(408) 530-0005
(408) 530-9473
Mailing address
21020 HOMESTEAD RD, SUITE 2, CUPERTINO, CA 95014-0240
(408) 530-0005
(408) 530-9473
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
14818
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ64183Z
BLUE SHIELD PIN
CA
Enumeration date
06/15/2006
Last updated
05/24/2010
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