Pacific Therx
NPI #1508315300 in Portola Valley, California
Provider Information
- NPI Number
- 1508315300
- Entity Type
- Organization
- Organization Name
- Pacific Therx
- Primary Specialty
- Clinic/Center - Physical Therapy
- Enumeration Date
- Sep 22, 2016
- Last Updated
- Sep 22, 2016
Practice Location
- Address
- 150 PORTOLA RD
- Address 2
- SUITE B
- City
- Portola Valley
- State
- California
- ZIP Code
- 94028-7852
- Phone
- (530) 417-7505
Authorized Official
- Name
- LISA D GREEN, PT
- Title
- OWNER
- Phone
- (650) 851-1145
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Physical Therapy — Physical Therapy |
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