NPI 1417137530
Spectrum Orthopedic Sport Therapy
Practice location
- Address
- 1140 Laurel St STE D, San Carlos, CA 94070-5054
- Phone
- (650) 654-1223
- Fax
- (650) 654-1205
Authorised official
- Name
- Kenneth William Burns
- Title
- Physical Therapist Owner
- Phone
- (650) 654-1223
Registered specialties
Physical Therapist
Primary
Registry record
- NPI
- 1417137530
- Entity type
- Organization
- NPI issued
- 6 Nov 2007
- Record last updated
- 26 Jul 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.