Provider Demographics
NPI:1205112174
Name:PRENDERGAST AND RUMMER PHYS THERAPY PELVIC HEALTH & REHABILIATION CTR
Entity type:Organization
Organization Name:PRENDERGAST AND RUMMER PHYS THERAPY PELVIC HEALTH & REHABILIATION CTR
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:HANDAN
Authorized Official - Last Name:AKINCILAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:415-694-2191
Mailing Address - Street 1:32 DANIEL WEBSTER HWY STE 16
Mailing Address - Street 2:
Mailing Address - City:MERRIMACK
Mailing Address - State:NH
Mailing Address - Zip Code:03054-4860
Mailing Address - Country:US
Mailing Address - Phone:035-899-1846
Mailing Address - Fax:603-417-7135
Practice Address - Street 1:2000 VAN NESS AVE STE 603
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94109
Practice Address - Country:US
Practice Address - Phone:415-440-7600
Practice Address - Fax:415-440-6803
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-24
Last Update Date:2024-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261QP2000X
CA27193261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy