Maksim, Theresa Rose

Maksim, Theresa Rose is an individual health care provider with primary practice located at 26800 W Fremont Rd , Los Altos Hills CA 94022-1919. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Maksim, Theresa Rose can be contacted via phone (650) 209-3023.

Contact Information

Primary practice address
26800 W Fremont Rd Los Altos Hills CA 94022-1919
Phone: (650) 209-3023
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X

Profile Details

NPI number 1205473741
LBN Legal business name Maksim, Theresa Rose
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 3rd, 2019
Last updated Dec 3rd, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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