Provider Demographics
NPI:1831477850
Name:FLEISCHMAN, ADELAIDE ALICE (LMT, RMT, CA, EEMP)
Entity Type:Individual
Prefix:
First Name:ADELAIDE
Middle Name:ALICE
Last Name:FLEISCHMAN
Suffix:
Gender:F
Credentials:LMT, RMT, CA, EEMP
Other - Prefix:
Other - First Name:ADELE
Other - Middle Name:
Other - Last Name:FLEISCHMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMT, RMT, CA, EEMP
Mailing Address - Street 1:72 MARTHA AVE
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94131-2835
Mailing Address - Country:US
Mailing Address - Phone:415-516-2598
Mailing Address - Fax:
Practice Address - Street 1:919 IRVING ST
Practice Address - Street 2:SUITE 104
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94122-2206
Practice Address - Country:US
Practice Address - Phone:415-516-2598
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-25
Last Update Date:2011-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA01218225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist