Healthcare Provider Details

I. General information

NPI: 1750292439
Provider Name (Legal Business Name): GENEVIEVE THERESE ADLER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

450 BROADWAY ST
REDWOOD CITY CA
94063-3132
US

IV. Provider business mailing address

1982 W BAYSHORE RD APT 223
EAST PALO ALTO CA
94303-5203
US

V. Phone/Fax

Practice location:
  • Phone: 650-725-5106
  • Fax:
Mailing address:
  • Phone: 262-444-7121
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number310144
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: