FORM PHYSICAL THERAPY, A PROFESSIONAL CORPORATION

SAN FRANCISCO, CA
NPI1174770630
Doing Business AsFORM PHYSICAL THERAPY
Entity TypeOrganization
Authorized ContactSTACEE LEE BROWN
Owner/President
415-297-4113
Organization Subpart ?No
Primary Taxonomy261QP2000X Clinic/Center, Physical Therapy
(Licence: CA  29589)
Enumeration Date2008-08-26
Last Update Date2012-09-06
Business Address
FORM PHYSICAL THERAPY, A PROFESSIONAL CORPORATION
2358 PINE STREET
SAN FRANCISCO, CA 94115
Phone number: 415-297-4113
Mailing Address
FORM PHYSICAL THERAPY, A PROFESSIONAL CORPORATION
68 DOMINICAN DRIVE
SAN RAFAEL, CA 94901
Phone number: 415-297-4113
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