Marin Physical Therapy, Inc. in San Rafael - Specialist
Marin Physical Therapy, Inc. - NPI 1275658148
Marin Physical Therapy, Inc. is a Specialist in San Rafael, California. Marin Physical Therapy, Inc. practices all healthcare services and medical treatments related to Specialist. The NPI Number for Marin Physical Therapy, Inc. is 1275658148. The last update date is 2008-04-01.
Marin Physical Therapy, Inc.'s current location address is 165 North Redwood Drive, San Rafael, California. You can contact this provider via phone number 4154990278. The mailing address for Marin Physical Therapy, Inc. is 165 North Redwood Drive, San Rafael, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Marin Physical Therapy, Inc. |
|---|---|
| Address | 165 North Redwood Drive, San Rafael, California |
| Phone Number | 4154990278 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Kelly Edward Andrew |
| Credentials | P.T. |
| Telephone Number | 4154990278 |
NPI Number Detail
| NPI Number | 1275658148 |
|---|---|
| Provider Enumeration Date | 2007-03-20 |
| Last Updated Date | 2008-04-01 |
Provider Mailing Address Detail
| Address | 165 North Redwood Drive |
|---|---|
| City | San Rafael |
| State | California (CA) |
| Post Code | 94903 |
| Phone Number | 4154990278 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | PT15707 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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What is the unique 10-digit identification code assigned to Marin Physical Therapy, Inc. by the Centers for Medicare & Medicaid Services?
The Marin Physical Therapy, Inc. has been issued the NPI (National Provider Identifier) 1275658148, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Marin Physical Therapy, Inc.'s physical address?
The Marin Physical Therapy, Inc. is physically located at 165 North Redwood Drive, in the city of San Rafael, CA, with the postal code 94903.
What is Marin Physical Therapy, Inc.'s area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Marin Physical Therapy, Inc. is Specialist, and the taxonomy code that categorizes this field of expertise is 174400000X.
On what date did the Marin Physical Therapy, Inc. receive its 1275658148 assignment from the Centers for Medicare & Medicaid Services?
The Marin Physical Therapy, Inc. was assigned its 1275658148 by the Centers for Medicare & Medicaid Services on 2007-03-20.
As of what date were the details pertaining to Marin Physical Therapy, Inc. last refreshed?
The information related to the Marin Physical Therapy, Inc., including its address, specialty, and other relevant details, was last updated on 2008-04-01.
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