Organization
DEPARTMENT OF VETERANS AFFAIRS
Active
Organization
DEPARTMENT OF VETERANS AFFAIRS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS EDWARD C BRODD MS (PROGRAM MANAGER DRIVER EVALUATIONS)
(650) 493-5000
Entity
Organization
Contact information
Practice address
3801 MIRANDA AVE, PALO ALTO, CA 94304-1207
(650) 493-5000
Mailing address
3801 MIRANDA AVE, PALO ALTO, CA 94304-1207
(650) 493-5000
Taxonomy
Speciality
Code
Description
License number
State
226300000X
Kinesiotherapist
Primary
914
CA
Other
Enumeration date
07/26/2006
Last updated
08/08/2008
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