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Organization

BACKTOFITNESS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. NANCY CHAN P.T. (DIRECTOR)
(650) 494-0991
Entity
Organization

Contact information

Practice address
744 SAN ANTONIO RD STE 3, PALO ALTO, CA 94303
(650) 494-0991
(650) 494-0129
Mailing address
744 SAN ANTONIO RD STE 3, PALO ALTO, CA 94303-4624
(650) 494-0991
(650) 494-0129

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary

Other

Enumeration date
01/30/2007
Last updated
01/30/2009
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