Provider Demographics
NPI:1164836037
Name:CAVAN, ARLENE (PT)
Entity Type:Individual
Prefix:
First Name:ARLENE
Middle Name:
Last Name:CAVAN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:490 POST ST
Mailing Address - Street 2:SUITE 1100
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94102-1401
Mailing Address - Country:US
Mailing Address - Phone:415-441-5800
Mailing Address - Fax:415-441-4946
Practice Address - Street 1:490 POST ST
Practice Address - Street 2:SUITE 1100
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94102-1401
Practice Address - Country:US
Practice Address - Phone:415-441-5800
Practice Address - Fax:415-441-4946
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-18
Last Update Date:2019-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT 26427225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist