MEDICARE: JANE ALISON GALVAN PT

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	225100000X	Physical Therapist	13883	CA

General Provider Information

NPI Number	:	1619946381
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANE ALISON GALVAN PT

Provider Business Mailing Address
First Line	:	2929 24TH ST
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94110-4126
Country	:	US
Telephone Number	:	415-702-9206
Fax Number	:	415-314-0380

Provider Business Practice Location Address
First Line	:	2929 24TH ST
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94110-4126
Country	:	US
Telephone Number	:	415-702-9206
Fax Number	:	415-341-0380

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

Provider Enumeration Date	:	03/15/2006
Last Update Date	:	02/11/2020

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