Organization · Type 2 NPI

Discharge Resource Group

Pediatric Physical Therapist · San Jose, CA

NPI number 1114222999 Active

Practice location

1150 S Bascom Ave, Suite 8
San Jose, CA 95128-3509

Fax (408) 885-9009

Specialties and licenses

TaxonomyCodeLicense
Pediatric Physical Therapist Primary 2251P0200X5484 (CA)
Pediatric Occupational Therapist 225XP0200X10119 (CA)
Speech-Language Pathologist 235Z00000X17648 (CA)

Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…

7 other providers at this address

About NPI 1114222999

Discharge Resource Group's National Provider Identifier is 1114222999, issued on Jan 25, 2011. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in San Jose, CA. The record was last updated on Jun 25, 2012.