Healthcare Provider Details

I. General information

NPI: 1225705254
Provider Name (Legal Business Name): LINDSAY VICTORIA CASE DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/26/2021
Last Update Date: 08/26/2021
Certification Date: 08/26/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20823 STEVENS CREEK BLVD STE 200
CUPERTINO CA
95014-2112
US

IV. Provider business mailing address

715 SPINDRIFT DR
SAN JOSE CA
95134-1346
US

V. Phone/Fax

Practice location:
  • Phone: 408-252-6076
  • Fax: 408-252-1159
Mailing address:
  • Phone: 408-701-8768
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number300826
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: