MEDICARE: THERESA LIN NAJJAR PT, NCS

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	35280	CA

General Provider Information

NPI Number	:	1518121250
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THERESA LIN NAJJAR PT, NCS

Provider Business Mailing Address
First Line	:	1030 E EL CAMINO REAL # 494
Second Line	:
City	:	SUNNYVALE
State	:	CA
Zip	:	94087-3759
Country	:	US
Telephone Number	:	408-724-8466
Fax Number	:

Provider Business Practice Location Address
First Line	:	1030 E EL CAMINO REAL # 494
Second Line	:
City	:	SUNNYVALE
State	:	CA
Zip	:	94087-3759
Country	:	US
Telephone Number	:	408-724-8466
Fax Number	:

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

Provider Enumeration Date	:	07/11/2008
Last Update Date	:	11/01/2014

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