Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mary Douglas Fortin

Individual provider Pediatric Physical Therapist · NPI 1215091947

Mary Douglas Fortin is a Pediatric Physical Therapist in Santa Clara, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006

Practice location Address checks out

710 Lawerence Expressway DEPT.174
Santa Clara, CA 95051
Phone: (408) 851-1495
Fax: (408) 851-1499
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Physical Therapist (primary) Taxonomy 2251P0200X · Licence PT10606 (CA)

Record details

NPI number1215091947
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 20, 2006
Last updated in NPPESJuly 8, 2007

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