Individual
MRS. AUDREY KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
16185 LOS GATOS BLVD STE 205, LOS GATOS, CA 95032-4569
(866) 839-6979
Mailing address
3965 MARTIN DR, SAN MATEO, CA 94403-3653
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
291910
CA
Other
Enumeration date
08/16/2016
Last updated
03/16/2023
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