Provider Demographics
NPI:1215229745
Name:HESSION HOME PHYSICAL THERAPY AND SERVICES INC
Entity Type:Organization
Organization Name:HESSION HOME PHYSICAL THERAPY AND SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST/PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MICHELE
Authorized Official - Middle Name:LEDOUX
Authorized Official - Last Name:HESSION
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:650-722-2766
Mailing Address - Street 1:PO BOX 455
Mailing Address - Street 2:
Mailing Address - City:REDWOOD CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94064-0455
Mailing Address - Country:US
Mailing Address - Phone:650-722-2766
Mailing Address - Fax:
Practice Address - Street 1:725 WINDSOR WAY
Practice Address - Street 2:
Practice Address - City:REDWOOD CITY
Practice Address - State:CA
Practice Address - Zip Code:94061-1349
Practice Address - Country:US
Practice Address - Phone:650-722-2766
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-03
Last Update Date:2011-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA14602251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health