MEDICARE: PAM HANDLEY 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	PT10547	CA

General Provider Information

NPI Number	:	1730350570
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAM HANDLEY PT

Provider Business Mailing Address
First Line	:	5050 EL CAMINO REAL
Second Line	:	SUITE 210
City	:	LOS ALTOS
State	:	CA
Zip	:	94022-1530
Country	:	US
Telephone Number	:	650-559-0011
Fax Number	:	650-559-0012

Provider Business Practice Location Address
First Line	:	5050 EL CAMINO REAL
Second Line	:	SUITE 210
City	:	LOS ALTOS
State	:	CA
Zip	:	94022-1530
Country	:	US
Telephone Number	:	650-559-0011
Fax Number	:	650-559-0012

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

Provider Enumeration Date	:	03/20/2008
Last Update Date	:	02/11/2015

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Directions to “ PAM HANDLEY PT” Practice Location

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