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Organization
DIANE SHIRAISHI & CHRIS OTA PHYSICAL THERAPY
Active
Organization
DIANE SHIRAISHI & CHRIS OTA PHYSICAL THERAPY
Active
Other names
DS Physical Therapy & Sportscare
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE SHIRAISHI R.P.T. (PHYSICAL THERAPIST)
(408) 246-5861
Entity
Organization
Contact information
Practice address
2337 FOREST AVE, SAN JOSE, CA 95128-4606
(408) 246-5861
(408) 246-2066
Mailing address
2337 FOREST AVE, SAN JOSE, CA 95128-4606
(408) 246-5861
(408) 246-2066
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT5363
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FT468A
PTAN
CA
Enumeration date
01/31/2007
Last updated
10/12/2012
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