Provider Demographics
NPI:1063443935
Name:THE HAND & PHYSICAL THERAPY CENTER OF MARIN, PTPC
Entity Type:Organization
Organization Name:THE HAND & PHYSICAL THERAPY CENTER OF MARIN, PTPC
Other - Org Name:THE HAND & PHYSICAL THERAPY CENTER OF MARIN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:NUGENT
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:415-927-2007
Mailing Address - Street 1:5 BON AIR RD
Mailing Address - Street 2:SUITE A105
Mailing Address - City:LARKSPUR
Mailing Address - State:CA
Mailing Address - Zip Code:94939-1143
Mailing Address - Country:US
Mailing Address - Phone:415-927-2007
Mailing Address - Fax:415-927-7272
Practice Address - Street 1:5 BON AIR RD
Practice Address - Street 2:SUITE A105
Practice Address - City:LARKSPUR
Practice Address - State:CA
Practice Address - Zip Code:94939-1143
Practice Address - Country:US
Practice Address - Phone:415-927-2007
Practice Address - Fax:415-927-7272
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-06
Last Update Date:2008-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
4472730001Medicare NSC
CAZZZ26234ZMedicare PIN