Organization
IMPAQ REHABILITATION SERVICESAN
Active
Organization
IMPAQ REHABILITATION SERVICESAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAN-MICHAEL RIVERA NAVARRO (PHYSICAL THERAPY ASSISTANT)
(510) 396-9495
Entity
Organization
Contact information
Practice address
178 DENSLOWE DR, SAN FRANCISCO, CA 94132-2035
(415) 548-0000
(415) 333-6231
Mailing address
5341 EGGERS DR, FREMONT, CA 94536-7143
(510) 396-9495
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
8113
CA
Other
Enumeration date
02/17/2010
Last updated
02/17/2010
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