Organization
KENEALLY PHYSICAL THERAPY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON KENEALLY PT (PRESIDENT/PT)
(781) 883-0190
Entity
Organization
Contact information
Practice address
14127 CAPRI DR STE 5A, LOS GATOS, CA 95032-1534
(781) 883-0190
Mailing address
1153 STAFFORD DR, CUPERTINO, CA 95014-4968
(781) 883-0190
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
12/15/2019
Last updated
12/15/2019
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