Most Relevant Information
Provider Data
NPI Number: | 1003204603 |
Provider Name: | MARY CLAIRE TOLENTINO |
Entity Type: | Individual |
Taxonomy Code: | 225100000X |
Specialty: | Physical Therapist |
License Number: | 28979 |
Most Important Dates
Enumeration Date: | 01/05/2015 |
Last Updated: | 01/05/2015 |
Provider Practice Location
4019 GOLD RUN
SAN JOSE
CA
951362203
Practice Location Phone/Fax
Phone: | 4084167464 |
Fax: |
Provider Mailing Location
4019 GOLD RUN
SAN JOSE
CA
951362203
Provider Mailing Phone/Fax
Phone: | 4084167464 |
Fax: |