Individual
AGNES SAMU REFY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
1665 BLOSSOM HILL RD, SAN JOSE, CA 95124-6342
(408) 265-2560
(408) 265-6822
Mailing address
1665 BLOSSOM HILL RD, SAN JOSE, CA 95124-6342
(408) 265-2560
(408) 265-6822
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT14384
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT14384
PHYSICAL THERAPY BOARD OF CALIFORNIA
CA
Enumeration date
06/14/2008
Last updated
06/14/2008
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