Organization
BROBERG PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WAYNE A BROBERG MPT (OWNER-PHYSICAL THERAPIST)
(408) 927-0871
Entity
Organization
Contact information
Practice address
6055 MERIDIAN AVE, SUITE 110, SAN JOSE, CA 95120
(408) 927-0871
(408) 927-0891
Mailing address
6055 MERIDIAN AVE, SUITE 110, SAN JOSE, CA 95120
(408) 927-0871
(408) 927-0891
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
08/31/2006
Last updated
10/16/2007
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