Organization
KODA THERAPY GROUP
Active
Other names
Koda Therapy Group
Organization subpart
No
Provider details
NPI number
Authorized official
ABIGAIL HOWE CMT (OWNER, FOUNDER)
(650) 441-2894
Entity
Organization
Contact information
Practice address
2421 PARK BLVD STE B205, PALO ALTO, CA 94306-1998
(650) 441-2894
Mailing address
2421 PARK BLVD STE B205, PALO ALTO, CA 94306-1998
(650) 441-2894
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1831751403
PROFESSIONAL
CA
Enumeration date
11/14/2019
Last updated
11/14/2019
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