Healthcare Provider Details

I. General information

NPI: 1275072209
Provider Name (Legal Business Name): EVALYN ABRAMOWITZ PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/23/2017
Last Update Date: 02/23/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1109 VICENTE ST SUITE 101
SAN FRANCISCO CA
94116-3084
US

IV. Provider business mailing address

1109 VICENTE ST SUITE 101
SAN FRANCISCO CA
94116-3084
US

V. Phone/Fax

Practice location:
  • Phone: 415-682-2111
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number17238
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: