Provider Demographics
NPI:1891859807
Name:DENZLER, JOAN KATHLEEN (PT)
Entity Type:Individual
Prefix:MS
First Name:JOAN
Middle Name:KATHLEEN
Last Name:DENZLER
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 1:34008 WEBFOOT LOOP
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94555-2975
Mailing Address - Country:US
Mailing Address - Phone:510-713-1101
Mailing Address - Fax:
Practice Address - Street 1:ALAMEDA COUNTY MEDICAL CENTER - FAIRMONT CAMPUS
Practice Address - Street 2:15400 FOOTHILL BLVD
Practice Address - City:SAN LEANDRO
Practice Address - State:CA
Practice Address - Zip Code:94578-1009
Practice Address - Country:US
Practice Address - Phone:510-895-4513
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA10626225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist