Provider Demographics
NPI:1184723926
Name:DEUTCH, HARVEY M (PT)
Entity type:Individual
Prefix:
First Name:HARVEY
Middle Name:M
Last Name:DEUTCH
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:580 MARKET ST
Mailing Address - Street 2:STE 200
Mailing Address - City:SF
Mailing Address - State:CA
Mailing Address - Zip Code:94104
Mailing Address - Country:US
Mailing Address - Phone:415-788-2100
Mailing Address - Fax:415-788-2102
Practice Address - Street 1:580 MARKET ST
Practice Address - Street 2:STE 200
Practice Address - City:SF
Practice Address - State:CA
Practice Address - Zip Code:94104
Practice Address - Country:US
Practice Address - Phone:415-788-2100
Practice Address - Fax:415-788-2102
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2007-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT10471225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ26424ZMedicare ID - Type Unspecified