Provider Demographics
NPI:1245516749
Name:DALY CITY PHYSICAL THERAPY INC
Entity type:Organization
Organization Name:DALY CITY PHYSICAL THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:A
Authorized Official - Last Name:BERNALES
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:650-756-3740
Mailing Address - Street 1:171 SCHOOL ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:DALY CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94014-2433
Mailing Address - Country:US
Mailing Address - Phone:650-756-3740
Mailing Address - Fax:650-488-0240
Practice Address - Street 1:171 SCHOOL ST
Practice Address - Street 2:SUITE A
Practice Address - City:DALY CITY
Practice Address - State:CA
Practice Address - Zip Code:94014-2433
Practice Address - Country:US
Practice Address - Phone:650-756-3740
Practice Address - Fax:650-488-0240
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-27
Last Update Date:2011-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty