Individual
THANIT NOOM SIRIMATUROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, FAAOMPT
Contact information
Practice address
3825 EL CAMINO REAL, PALO ALTO, CA 94306-3324
(650) 565-8090
Mailing address
4038 FITZPATRICK WAY, SANTA CLARA, CA 95054-4194
(626) 922-7139
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
39389
CA
2251S0007X
Sports Physical Therapist
39389
CA
2251X0800X
Orthopedic Physical Therapist
Primary
39389
CA
Other
Enumeration date
09/19/2012
Last updated
03/28/2024
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