Organization
BAYSPORT, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDA C. EMERY (VICE PRESIDENT, CFO)
(408) 395-7300
Entity
Organization
Contact information
Practice address
14675 WINCHESTER BLVD, LOS GATOS, CA 95032-1816
(408) 395-8851
(408) 395-8841
Mailing address
987 UNIVERSITY AVE, STE 12, LOS GATOS, CA 95032-7640
(408) 395-7300
(408) 395-7350
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT24147
CA
Other
Enumeration date
06/10/2005
Last updated
06/10/2009
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