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Contact Information

TICE VALLEY PHYSICAL THERAPY AND SPORTS MEDICINE INC.
1874 TICE VALLEY BLVD
WALNUT CREEK, CA94595
 Phone: 925-935-0510
 Fax: 925-935-0750
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapy

261QP2000X
Indicates primary specialty

NPI Profile & details for TICE VALLEY PHYSICAL THERAPY AND SPORTS MEDICINE INC.

NPI # 1275633000
LBN Legal business name TICE VALLEY PHYSICAL THERAPY AND SPORTS MEDICINE INC.
Authorized official DON DENDINGER - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/22/2006
Last updated 06/24/2015 - About 11 years ago
Identifiers
CA License # PT 19177
CA License # PT 21277
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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