Provider Demographics
NPI:1194464446
Name:WORKFORCE PHYSICAL THERAPY
Entity Type:Organization
Organization Name:WORKFORCE PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ABDULHAMID
Authorized Official - Middle Name:
Authorized Official - Last Name:BANAFA
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:408-931-2493
Mailing Address - Street 1:142 N MILPITAS BLVD # 398
Mailing Address - Street 2:
Mailing Address - City:MILPITAS
Mailing Address - State:CA
Mailing Address - Zip Code:95035-4401
Mailing Address - Country:US
Mailing Address - Phone:408-931-2493
Mailing Address - Fax:
Practice Address - Street 1:484 OAK RD RM 206
Practice Address - Street 2:
Practice Address - City:STANFORD
Practice Address - State:CA
Practice Address - Zip Code:94305-4502
Practice Address - Country:US
Practice Address - Phone:650-684-8974
Practice Address - Fax:408-608-1993
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-02
Last Update Date:2022-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty