Healthcare Provider Details

I. General information

NPI: 1245516749
Provider Name (Legal Business Name): DALY CITY PHYSICAL THERAPY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/27/2011
Last Update Date: 10/27/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

171 SCHOOL ST SUITE A
DALY CITY CA
94014-2433
US

IV. Provider business mailing address

171 SCHOOL ST SUITE A
DALY CITY CA
94014-2433
US

V. Phone/Fax

Practice location:
  • Phone: 650-756-3740
  • Fax: 650-488-0240
Mailing address:
  • Phone: 650-756-3740
  • Fax: 650-488-0240

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: KATHERINE A. BERNALES
Title or Position: PRESIDENT/OWNER
Credential: PT
Phone: 650-756-3740