Provider Demographics
NPI:1780240663
Name:VO, NANCY (PT, DPT)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:
Last Name:VO
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3700 LILLICK DR APT 117
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARA
Mailing Address - State:CA
Mailing Address - Zip Code:95051-3217
Mailing Address - Country:US
Mailing Address - Phone:479-459-9958
Mailing Address - Fax:
Practice Address - Street 1:3700 LILLICK DR APT 117
Practice Address - Street 2:
Practice Address - City:SANTA CLARA
Practice Address - State:CA
Practice Address - Zip Code:95051-3217
Practice Address - Country:US
Practice Address - Phone:479-459-9958
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-15
Last Update Date:2019-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR293073225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist