Provider Demographics
NPI:1659997526
Name:RYBICKI, CAROLINE (DPT, PT)
Entity Type:Individual
Prefix:
First Name:CAROLINE
Middle Name:
Last Name:RYBICKI
Suffix:
Gender:F
Credentials:DPT, PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1258A ARMISTEAD RD
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94129-4000
Mailing Address - Country:US
Mailing Address - Phone:262-348-6571
Mailing Address - Fax:
Practice Address - Street 1:23 REED BLVD
Practice Address - Street 2:
Practice Address - City:MILL VALLEY
Practice Address - State:CA
Practice Address - Zip Code:94941-2334
Practice Address - Country:US
Practice Address - Phone:415-888-2289
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-17
Last Update Date:2020-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA294092225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist