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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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