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NPI Code Detail

MEDICARE: MRS. NOREEN GAY CIUDADANO KNOX

MEDICARE:  MRS. NOREEN GAY CIUDADANO KNOX
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
1225100000XPhysical Therapist33306CA
2225100000XPhysical Therapist027658NY

General Provider Information

NPI Number : 1538373808
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. NOREEN GAY CIUDADANO KNOX
Provider Business Mailing Address
First Line : 5595 WALNUT BLOSSOM DR
Second Line : APT 18
City : SAN JOSE
State : CA
Zip : 95123-2283
Country : US
Telephone Number : 408-439-4253
Fax Number :
Provider Business Practice Location Address
First Line : 39022 PRESIDIO WAY
Second Line :
City : FREMONT
State : CA
Zip : 94538-1221
Country : US
Telephone Number : 510-792-3743
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/09/2007
Last Update Date : 07/08/2007

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Directions to “ MRS. NOREEN GAY CIUDADANO KNOX ” Practice Location

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