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NPI Code Detail

MEDICARE: GROVE, ANDERSEN, GHIRINGHELLI PHYSICAL THERAPY A PROFESSIONAL CO

MEDICARE: GROVE, ANDERSEN, GHIRINGHELLI PHYSICAL THERAPY A PROFESSIONAL CO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist
2225XH1200XHand Occupational Therapist
3225100000XPhysical Therapist

General Provider Information

NPI Number : 1053393538
Entity Type Code : Organization
Provider Name (Legal Business Name) : GROVE, ANDERSEN, GHIRINGHELLI PHYSICAL THERAPY A PROFESSIONAL CO
Provider Business Mailing Address
First Line : 860 SOUTHAMPTON RD
Second Line :
City : BENICIA
State : CA
Zip : 94510-1907
Country : US
Telephone Number : 707-745-6144
Fax Number : 707-745-5698
Provider Business Practice Location Address
First Line : 127 HOSPITAL DR STE 101
Second Line :
City : VALLEJO
State : CA
Zip : 94589-2500
Country : US
Telephone Number : 707-552-8795
Fax Number : 707-552-9638
Authorized Official
Title or Position : CONTROLLER
Name : MR. KATE ZITTERE
Credential :
Telephone Number : 760-602-4106
Provider Enumeration Date : 11/18/2005
Last Update Date : 05/08/2018

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Directions to “GROVE, ANDERSEN, GHIRINGHELLI PHYSICAL THERAPY A PROFESSIONAL CO ” Practice Location

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