Organization
TKB SPORTS MEDICINE & REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNAH HUONG LE (OFFICE MANAGER)
(408) 440-2359
Entity
Organization
Contact information
Practice address
356 DIGITAL DR, MORGAN HILL, CA 95037-2879
(408) 440-2359
(408) 890-4775
Mailing address
10521 POTTS WAY, SAN JOSE, CA 95111-3330
(408) 440-2359
(408) 890-4775
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
CA
2251S0007X
Sports Physical Therapist
Primary
—
CA
225200000X
Physical Therapy Assistant
—
CA
2255A2300X
Athletic Trainer
—
CA
363AM0700X
Medical Physician Assistant
—
CA
Other
Enumeration date
05/29/2012
Last updated
10/09/2012
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