Individual
ATIN GUPTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4205 RUBY AVE, SAN JOSE, CA 95135-1109
(586) 489-1676
Mailing address
2500 COUNTRY DR, FREMONT, CA 94536-5356
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
291499
CA
Other
Enumeration date
03/07/2019
Last updated
03/07/2019
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