Organization
PACIFIC THERAPY AND REHAB, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT CHAN (VICE PRESIDENT)
(408) 832-9656
Entity
Organization
Contact information
Practice address
39159 PASEO PADRE PKWY, SUITE 111, FREMONT, CA 94538-1608
(510) 505-9800
(510) 505-9880
Mailing address
PO BOX 610638, SAN JOSE, CA 95161-0638
(408) 832-9656
(510) 505-9880
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
OT5979
CA
Other
Enumeration date
12/29/2006
Last updated
07/31/2008
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