Healthcare Provider Details

I. General information

NPI: 1659952430
Provider Name (Legal Business Name): JOUR-KNEE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/14/2021
Last Update Date: 04/27/2021
Certification Date: 04/27/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 TAMAL PLZ STE 507
CORTE MADERA CA
94925-1183
US

IV. Provider business mailing address

500 TAMAL PLZ STE 507
CORTE MADERA CA
94925-1183
US

V. Phone/Fax

Practice location:
  • Phone: 415-886-8314
  • Fax: 415-634-1384
Mailing address:
  • Phone: 415-886-8314
  • Fax: 415-634-1384

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. DANIELLE MARIE SARTORI
Title or Position: OWNER
Credential: PT
Phone: 415-886-8314