Sport & Spine Therapy of Marin INC
NPI #1154388577 in San Anselmo, California
Provider Information
- NPI Number
- 1154388577
- Entity Type
- Organization
- Organization Name
- Sport & Spine Therapy of Marin INC
- Primary Specialty
- Physical Therapist - Orthopedic
- Enumeration Date
- Apr 28, 2006
- Last Updated
- Dec 6, 2023
Practice Location
- Address
- 220 GREENFIELD AVE
- City
- San Anselmo
- State
- California
- ZIP Code
- 94960-2416
- Phone
- (415) 457-4454
Authorized Official
- Name
- BOBBY ISMAIL
- Title
- PRESIDENT
- Phone
- (209) 353-1988
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Physical Therapy — Physical Therapy |
| Physical Therapist - Orthopedic — Orthopedic |
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