Organization
NORTHERN THERAPY GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HALEH PEZESHKAN (PRESIDENT)
(925) 818-1362
Entity
Organization
Contact information
Practice address
5820 STONERIDGE MALL RD STE 203, PLEASANTON, CA 94588-3200
(925) 818-1362
Mailing address
PO BOX 3128, DANVILLE, CA 94526-6428
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
06/25/2015
Last updated
04/13/2016
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