Individual
MARIE BOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
341 GALVEZ ST, STANFORD, CA 94305-6106
(650) 721-2062
Mailing address
418 BRASSINGA CT, PALO ALTO, CA 94306-4498
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
292142
CA
Other
Enumeration date
11/18/2016
Last updated
11/18/2016
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