Individual
GEETA NASIKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
39180 FARWELL DR, FREMONT, CA 94538
(510) 857-1000
(510) 857-1001
Mailing address
39180 FARWELL DR, FREMONT, CA 94538-1000
(510) 857-1000
(510) 857-1001
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT36110
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CU443Y
MEDICARE PTAN
CA
Enumeration date
01/08/2010
Last updated
09/05/2018
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