Healthcare Provider Details

I. General information

NPI: 1568536209
Provider Name (Legal Business Name): NANCY M LOWE P.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/17/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

275 HOSPITAL PKWY FIFTH FLOOR
SAN JOSE CA
95119-1106
US

IV. Provider business mailing address

275 HOSPITAL PKWY FIFTH FLOOR
SAN JOSE CA
95119-1106
US

V. Phone/Fax

Practice location:
  • Phone: 408-363-4543
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251E1200X
TaxonomyErgonomics Physical Therapist
License NumberPT10159
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: