Spectrum Orthopedic Sport Therapy
NPI #1417137530 in San Carlos, California
Provider Information
- NPI Number
- 1417137530
- Entity Type
- Organization
- Organization Name
- Spectrum Orthopedic Sport Therapy
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Nov 6, 2007
- Last Updated
- Jul 26, 2022
Practice Location
- Address
- 1140 LAUREL ST STE D
- City
- San Carlos
- State
- California
- ZIP Code
- 94070-5054
- Phone
- (650) 654-1223
Authorized Official
- Name
- MR. KENNETH WILLIAM BURNS, PT CSCS
- Title
- PHYSICAL THERAPIST OWNER
- Phone
- (650) 654-1223
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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