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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SPORT CLINIC

Active Organization

SPORT CLINIC is a Physical Therapy Assistant organization located in SAN JOSE, California. NPI 1376827626 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · SAN JOSE, CA

Registration Details

NPI Number
1376827626
Provider Type
Organization
NPI Issued
Oct 5, 2011 (14.855327599733 yrs)
Last Updated
Oct 5, 2011
License
155070 (CA)

Practice Information

Address
3756 S BASCOM AVE
SAN JOSE, CA, 951242662
Browse CA providers · Browse ZIP 95124
Phone
4085595119
Fax
4085595139
Primary Specialty
Physical Therapy Assistant
225100000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.