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Healthcare Organization Stored source record

NOVATO BACK CARE AND SPORTS PHYSICAL THERAPY

165 ROWLAND WAY, SUITE 101, NOVATO, CA, 949455038

atlas:atm_npi_1093945230

Block 1019Block Group 1Census Tract 1012Marin CountyCaliforniaUnited States

What is stored

phone
415-898-1311
status
A
address
165 ROWLAND WAY, SUITE 101, NOVATO, CA, 949455038
fax
415-897-0741
npi
1093945230
taxonomy
Physical Therapist, Orthopedic
other names
[]
last updated
2009-07-22
taxonomy code
2251X0800X
all taxonomies
["Physical Therapist, Orthopedic"]
enumeration date
2009-07-22
enumeration type
NPI-2
practice locations
0
authorized official
STEVEN THOMPSON
organizational subpart
NO

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{
  "fax": "415-897-0741",
  "npi": "1093945230",
  "phone": "415-898-1311",
  "status": "A",
  "address": "165 ROWLAND WAY, SUITE 101, NOVATO, CA, 949455038",
  "license": null,
  "taxonomy": "Physical Therapist, Orthopedic",
  "other_names": [],
  "last_updated": "2009-07-22",
  "license_state": null,
  "taxonomy_code": "2251X0800X",
  "all_taxonomies": [
    "Physical Therapist, Orthopedic"
  ],
  "enumeration_date": "2009-07-22",
  "enumeration_type": "NPI-2",
  "practice_locations": 0,
  "authorized_official": "STEVEN THOMPSON",
  "organizational_subpart": "NO"
}