Broberg Physical Therapy
LBN: Broberg Physical Therapy
Broberg Physical Therapy is an health care organization with primary practice located at 6055 Meridian Ave Suite 110, San Jose CA 95120. The organization recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is the primary health care specialty.
Broberg Physical Therapy can be contacted via phone (408) 927-0871, or through Broberg, Wayne A via phone (408) 927-0871.
Contact Information
Primary practice address
6055 Meridian Ave Suite 110
San Jose CA 95120
Phone: (408) 927-0871
Fax: (408) 927-0891
Website:
Authorized official contact:
Name: Broberg, Wayne A Master of Physical Therapy (MPT)
Phone: (408) 927-0871
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | ||
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X |
Profile Details
| NPI number | 1528170669 |
|---|---|
| LBN Legal business name | Broberg Physical Therapy |
| DBA Doing business as | |
| Authorized official | Broberg, Wayne A Master of Physical Therapy (MPT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Oct 16th, 2007 - about 17 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
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