Provider Demographics
NPI:1548737059
Name:GEORGE HARAS PHYSICAL THERAPY INC
Entity Type:Organization
Organization Name:GEORGE HARAS PHYSICAL THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:HARAS
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:415-858-3391
Mailing Address - Street 1:1655 TARAVAL ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94116-2353
Mailing Address - Country:US
Mailing Address - Phone:415-858-3391
Mailing Address - Fax:415-840-7191
Practice Address - Street 1:1655 TARAVAL ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94116-2353
Practice Address - Country:US
Practice Address - Phone:415-858-3391
Practice Address - Fax:415-840-7191
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-01
Last Update Date:2018-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty