Provider Demographics
NPI:1801879267
Name:TEMPLE, NADIA MARIE (PT)
Entity type:Individual
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First Name:NADIA
Middle Name:MARIE
Last Name:TEMPLE
Suffix:
Gender:F
Credentials:PT
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Mailing Address - Street 1:246 SOBRANTE WAY
Mailing Address - Street 2:#104
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94086-4807
Mailing Address - Country:US
Mailing Address - Phone:408-733-3670
Mailing Address - Fax:408-245-7968
Practice Address - Street 1:2039 FOREST AVE
Practice Address - Street 2:#104
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95128-4817
Practice Address - Country:US
Practice Address - Phone:408-279-8501
Practice Address - Fax:408-279-8504
Is Sole Proprietor?:No
Enumeration Date:2005-11-21
Last Update Date:2013-03-21
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Provider Licenses
StateLicense IDTaxonomies
CAPT19825225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAAQ060YMedicare PIN