Individual
MR. MARK ALAN SASAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.P.T.
Contact information
Practice address
3756 S BASCOM AVE, SAN JOSE, CA 95124-2662
(408) 559-5119
(408) 559-5139
Mailing address
3756 S BASCOM AVE, SAN JOSE, CA 95124-2662
(408) 559-5119
(408) 559-5139
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
155070
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ52041Y
BLUE SHIELD PIN
CA
Enumeration date
08/03/2006
Last updated
07/30/2009
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