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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