MEDICARE: DANIEL R PIPAL PT

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	22159	CA

General Provider Information

NPI Number	:	1851002299
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL R PIPAL PT

Provider Business Mailing Address
First Line	:	1152 EL ABRA WAY
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95125-3112
Country	:	US
Telephone Number	:	209-595-1306
Fax Number	:

Provider Business Practice Location Address
First Line	:	1152 EL ABRA WAY
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95125-3112
Country	:	US
Telephone Number	:	209-595-1306
Fax Number	:

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

Provider Enumeration Date	:	12/07/2022
Last Update Date	:	12/07/2022

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Directions to “ DANIEL R PIPAL PT” Practice Location

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