Provider Demographics
NPI:1396831939
Name:VARDI, SIGALIT ESTER (PT)
Entity Type:Individual
Prefix:MS
First Name:SIGALIT
Middle Name:ESTER
Last Name:VARDI
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 1:1893 MONTEREY HWY STE 200
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95112-6137
Mailing Address - Country:US
Mailing Address - Phone:408-288-3800
Mailing Address - Fax:408-288-3814
Practice Address - Street 1:1893 MONTEREY HWY STE 200
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95112-6137
Practice Address - Country:US
Practice Address - Phone:408-288-3800
Practice Address - Fax:408-288-3814
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT 29156225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist