Healthcare Provider Details

I. General information

NPI: 1003003005
Provider Name (Legal Business Name): FINANCIAL DISTRICT SPORT AND SPINE PHYSICAL THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2007
Last Update Date: 10/03/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

632 COMMERCIAL ST 4TH FLOOR
SAN FRANCISCO CA
94111-2573
US

IV. Provider business mailing address

3727 BUCHANAN ST SUITE 205
SAN FRANCISCO CA
94123-5410
US

V. Phone/Fax

Practice location:
  • Phone: 415-318-8138
  • Fax:
Mailing address:
  • Phone: 415-593-2532
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number
License Number State

VIII. Authorized Official

Name: KIM PARKER
Title or Position: CLINIC MANAGER
Credential: PT
Phone: 415-593-2532