Sports and Orthopedic Specialists

NPI #1104914597 in Oakland, California

Provider Information

NPI Number: 1104914597
Entity Type: Organization
Organization Name: Sports and Orthopedic Specialists
Primary Specialty: Physical Therapist
Enumeration Date: Oct 11, 2006
Last Updated: Apr 13, 2009

Practice Location

Address: 6300 TELEGRAPH AVE
City: Oakland
State: California
ZIP Code: 94609-1329
Phone: (510) 547-8293

Authorized Official

Name: MR. JOHN RICHARD KING, P.T.
Title: OWNER
Phone: (510) 547-8293

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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