Organization
EXPERIENCE PHYSICAL THERAPY CORP.
Active
Organization
EXPERIENCE PHYSICAL THERAPY CORP.
Active
Other names
EXPerience Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
CALVIN LEE PT, DPT (PRESIDENT)
(510) 371-1178
Entity
Organization
Contact information
Practice address
1860 MOWRY AVE STE 102, FREMONT, CA 94538-1730
(510) 371-1178
Mailing address
4793 PHEBE AVE, FREMONT, CA 94555-2502
(510) 371-1178
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
05/23/2024
Last updated
05/23/2024
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