Pacific Therx, Inc.

NPI #1215153507 in Portola Valley, California

Provider Information

NPI Number: 1215153507
Entity Type: Organization
Organization Name: Pacific Therx, Inc.
Primary Specialty: Specialist
Enumeration Date: Apr 17, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 150 PORTOLA RD
Address 2: SUITE B
City: Portola Valley
State: California
ZIP Code: 94028-7852
Phone: (650) 851-1145

Authorized Official

Name: MS. LISA DIANE GREEN II, MPT, ATC
Title: CEO
Phone: (650) 851-1145

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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