MEDICARE: ORNA ELIAV-MEIRI PHYSICAL THERAPIST

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PT29365	CA

General Provider Information

NPI Number	:	1376526525
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ORNA ELIAV-MEIRI PHYSICAL THERAPIST

Provider Business Mailing Address
First Line	:	2001 WINWARD WAY
Second Line	:	101
City	:	SAN MATEO
State	:	CA
Zip	:	94404-2469
Country	:	US
Telephone Number	:	650-571-6800
Fax Number	:	650-571-1260

Provider Business Practice Location Address
First Line	:	2001 WINWARD WAY
Second Line	:	101
City	:	SAN MATEO
State	:	CA
Zip	:	94404-2499
Country	:	US
Telephone Number	:	650-571-6800
Fax Number	:	650-571-1260

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/22/2005
Last Update Date	:	11/07/2012

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