Organization
DIANE SHIRAISHI & CHRIS OTA PTRS
Active
Other names
Campbell Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRIS M. OTA PT (OWNER)
(408) 866-5567
Entity
Organization
Contact information
Practice address
163 E HAMILTON AVE, CAMPBELL, CA 95008-0234
(408) 866-5567
(408) 866-1317
Mailing address
163 E HAMILTON AVE, CAMPBELL, CA 95008-0234
(408) 866-5567
(408) 866-1317
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
PT132250
CA
Other
Enumeration date
10/16/2006
Last updated
02/13/2012
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