Form Physical Therapy, a Professional Corporation
Form Physical Therapy, a Professional Corporation is a Physical Therapy Clinic/Center in San Francisco, California. Licensed in California. Registered with an NPI since 2008.
- Licensed in
- CA
- In the registry since
- 2008
Practice location Address checks out
2358 Pine StSan Francisco, CA 94115
Phone: (415) 297-4113
Fax: (415) 684-7694
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapy Clinic/Center (primary) | Taxonomy 261QP2000X · Licence 29589 (CA) |
|---|
Record details
| NPI number | 1174770630 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Stacee Brown — Owner/President · (415) 297-4113 |
| Other names | Form Physical Therapy |
| NPI enumerated | August 26, 2008 |
| Last updated in NPPES | September 6, 2012 |
| Mailing address | 68 Dominican Drive, San Rafael, CA 94901 |
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