Provider Demographics
NPI:1265953525
Name:CARIAD, JANETTE SOFIA (PT)
Entity type:Individual
Prefix:
First Name:JANETTE
Middle Name:SOFIA
Last Name:CARIAD
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 1:329 BRYANT ST STE 2A
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94107-1444
Mailing Address - Country:US
Mailing Address - Phone:415-538-7878
Mailing Address - Fax:415-538-7818
Practice Address - Street 1:329 BRYANT ST STE 2A
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94107-1444
Practice Address - Country:US
Practice Address - Phone:415-538-7878
Practice Address - Fax:415-538-7818
Is Sole Proprietor?:No
Enumeration Date:2017-06-27
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA2251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
814827414Other81482414