Individual
ELAINE CIMENI PATALINGHUG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
247 N CAPITOL AVE UNIT 224, SAN JOSE, CA 95127-2385
(408) 598-7874
Mailing address
1807 SEVILLE WAY, SAN JOSE, CA 95131-2760
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA49493
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
94632341G07300
MEDI-CAL
CA
Enumeration date
02/11/2019
Last updated
11/27/2019
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