Marin Individual Practice Association
Marin Individual Practice Association is a Physical Therapy Clinic/Center in San Rafael, California. Licensed in California. Registered with an NPI since 2006.
- Licensed in
- CA
- In the registry since
- 2006
Practice location Address checks out
1401 Los Gamos Dr Ste 140San Rafael, CA 94903
Phone: (415) 479-7100
Fax: (415) 479-7137
Show map & directions
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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 041525 (CA) |
|---|
Record details
| NPI number | 1528093093 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Marin Individual Practice Association |
| Authorized official | Wojtek Nowak — Chief Executive Officer · (415) 884-1818 |
| Other names | Dba: Core Physical Therapy, Dba: Meritage Medical Network |
| NPI enumerated | July 12, 2006 |
| Last updated in NPPES | March 26, 2018 |
| Mailing address | 1401 Los Gamos Drive, Suite 140, San Rafael, CA 94903 |
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