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General NPI Number Information
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NPI Number | 1164186763
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Entity Type | Organization
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Legal Business Name | CS PHYSICAL THERAPY CORPORATION
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Dates
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Enumeration Date | 10/29/2021
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Last Update Date | 05/13/2025
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Provider Practice Location Address
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Address Line | 1026 MONROE ST
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City | SANTA CLARA
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State | CA
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Zip | 95050-4811
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Country | US
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Telephone | 408-246-5861
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Fax | 408-246-2066
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Provider Business Mailing Address
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Address Line | 2337 FOREST AVE
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City | SAN JOSE
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State | CA
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Zip | 95128-4606
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Country | US
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Telephone | 408-246-5861
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Fax | 408-246-2066
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Authorized Official
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Title or Position | OWNER
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Name | CRAIG MITSUTO SHIRAISHI
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Credential | DPT
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Telephone | 408-246-5861
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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