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NPI Code Detail

MEDICARE: KIMBERLY GLADFELTER

MEDICARE: KIMBERLY GLADFELTER
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
1261QP2000XPhysical Therapy Clinic/CenterCA

General Provider Information

NPI Number : 1881650505
Entity Type Code : Organization
Provider Name (Legal Business Name) : KIMBERLY GLADFELTER
Provider Business Mailing Address
First Line : 1000 FREMONT AVE
Second Line : STE 108
City : LOS ALTOS
State : CA
Zip : 94024-6093
Country : US
Telephone Number : 650-947-8500
Fax Number : 650-947-8501
Provider Business Practice Location Address
First Line : 1000 FREMONT AVE
Second Line : STE. 108
City : LOS ALTOS
State : CA
Zip : 94024-6093
Country : US
Telephone Number : 650-947-8500
Fax Number : 650-947-8501
Authorized Official
Title or Position : OWNER
Name : KIMBERLY GLADFELTER
Credential :
Telephone Number : 650-947-8500
Provider Enumeration Date : 04/21/2006
Last Update Date : 07/17/2008

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Directions to “KIMBERLY GLADFELTER ” Practice Location

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