Organization
MISSION DISTRICT PHYSICAL THERAPY & REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAUL HUGO CAIMANQUE PT (OWNER & DIRECTOR)
(415) 824-4228
Entity
Organization
Contact information
Practice address
3490 20TH ST FL 1, SAN FRANCISCO, CA 94110-2582
(415) 824-4228
(415) 824-4678
Mailing address
3490 20TH ST FL 1, SAN FRANCISCO, CA 94110-2582
(415) 824-4228
(415) 824-4678
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT16150
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B9323545
CALIFORNIA DRIVERS LICENSE
CA
Enumeration date
03/30/2017
Last updated
03/30/2017
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