Organization
KODA THERAPY GROUP
Active
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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