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General NPI Number Information
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NPI Number | 1518129394
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Entity Type | Individual
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Provider Name | RUCHA KELKAR DPT
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Gender | Female
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Dates
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Enumeration Date | 07/02/2008
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Last Update Date | 11/02/2020
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Provider Practice Location Address
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Address Line | 407 N SAN MATEO DR
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City | SAN MATEO
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State | CA
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Zip | 94401-2417
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Country | US
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Telephone | 949-293-2950
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Fax |
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Provider Business Mailing Address
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Address Line | 872 GULL AVE
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City | FOSTER CITY
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State | CA
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Zip | 94404-1428
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Country | US
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Telephone | 949-293-2940
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT34690
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License Number State | CA
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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 | PT 34690
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License Number State | CA
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