Sport Clinic Inc in Fremont - Physical Therapist

Sport Clinic Inc - NPI 1497771901

Sport Clinic Inc is a Physical Therapist in Fremont, California. Sport Clinic Inc practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Sport Clinic Inc is 1497771901. The last update date is 2011-03-18.

Sport Clinic Inc's current location address is 39180 Farwell Dr, Fremont, California. You can contact this provider via phone number 5104380294 and fax number 5104380468. The mailing address for Sport Clinic Inc is 39180 Farwell Dr, Fremont, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Sport Clinic Inc
Address 39180 Farwell Dr, Fremont, California
Phone Number 5104380294
Fax Number 5104380468
Sole Proprietor --
Credentials --

Authorized Official

Title or Position VICE PRESI
Authorized Official Name Lopez Lance Darryl
Credentials PT
Telephone Number 5104380294

NPI Number Detail

NPI Number 1497771901
Provider Enumeration Date 2006-07-15
Last Updated Date 2011-03-18

Provider Mailing Address Detail

Address 39180 Farwell Dr
City Fremont
State California (CA)
Post Code 945381052
Phone Number 5104380294
Fax Number 5104380468

Provider's Primary Taxonomy Detail

Speciality Physical Therapist
Taxonomy 225100000X
Licence No PT18871
Definition:
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per

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FAQs about Sport Clinic Inc

What is the unique 10-digit identification code issued to Sport Clinic Inc by the Centers for Medicare & Medicaid Services?

The Sport Clinic Inc has been assigned the NPI (National Provider Identifier) 1497771901 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical location address where Sport Clinic Inc's facilities are situated?

The facilities of Sport Clinic Inc are physically located at the following address: 39180 Farwell Dr, Fremont, CA, 945381052.

What is Sport Clinic Inc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Sport Clinic Inc is Physical Therapist, and the taxonomy code that categorizes this field of expertise is 225100000X.

On what date did Sport Clinic Inc receive its 1497771901 assignment from the Centers for Medicare & Medicaid Services?

The Sport Clinic Inc was assigned its 1497771901 on 2006-07-15, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Sport Clinic Inc most recently updated?

The details pertaining to the Sport Clinic Inc, including its address, specialty, and other relevant information, were last refreshed on 2011-03-18.

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