Organization
SOAR PEDIATRIC PHYSICAL THERAPY
Active
Organization
SOAR PEDIATRIC PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARRIE E PURVIS DPT (OWNER)
(415) 624-9314
Entity
Organization
Contact information
Practice address
30 MITCHELL BLVD, SAN RAFAEL, CA 94903-2034
(415) 624-9314
Mailing address
65 TRELLIS DR, SAN RAFAEL, CA 94903-3326
(415) 624-9314
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
09/26/2024
Last updated
09/26/2024
Update your record
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