Provider Demographics
NPI:1689375446
Name:WORKLIFE PHYSICAL THERAPY
Entity Type:Organization
Organization Name:WORKLIFE PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST / CO-OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:KHANLARIAN
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:650-206-9194
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:650-206-9194
Mailing Address - Fax:650-249-3559
Practice Address - Street 1:830 WOODSIDE RD STE 1
Practice Address - Street 2:
Practice Address - City:REDWOOD CITY
Practice Address - State:CA
Practice Address - Zip Code:94061-3750
Practice Address - Country:US
Practice Address - Phone:650-206-9194
Practice Address - Fax:650-249-3559
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-16
Last Update Date:2023-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty