Provider Demographics
NPI:1265718555
Name:SATARZADEH, KATHERINE T (PT)
Entity type:Individual
Prefix:MRS
First Name:KATHERINE
Middle Name:T
Last Name:SATARZADEH
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:KATHERINE
Other - Middle Name:
Other - Last Name:TSOBANOUDIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6224 FIREFLY DR
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95120-3924
Mailing Address - Country:US
Mailing Address - Phone:530-867-3771
Mailing Address - Fax:
Practice Address - Street 1:479 E EVELYN AVE
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94086-6358
Practice Address - Country:US
Practice Address - Phone:408-736-7600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-31
Last Update Date:2022-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA38144225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist