MEDICARE: GERLIE MUNAR

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
1	225200000X	Physical Therapy Assistant	PTA8892	CA

General Provider Information

NPI Number	:	1417574047
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GERLIE MUNAR

Provider Business Mailing Address
First Line	:	1601 47TH AVE
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94122-2912
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1601 47TH AVE
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94122-2912
Country	:	US
Telephone Number	:	415-213-5616
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/30/2020
Last Update Date	:	06/30/2020

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Directions to “ GERLIE MUNAR ” Practice Location

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