Mindful Physical Therapy

LBN: Mindful Physical Therapy
Mindful Physical Therapy is an health care organization with primary practice located at 901 Sir Francis Drake Blvd Suite B, Kentfield CA 94904-1502. The organization recently has only one registered license in Ambulatory Health Care Facilities / Physical Therapy, which is considered as the primary health care specialty. Mindful Physical Therapy can be contacted via phone (415) 256-9990, or through Borgeson, David John via phone (415) 256-9990.

Contact Information

Primary practice address
901 Sir Francis Drake Blvd Suite B Kentfield CA 94904-1502
Phone: (415) 256-9990
Fax: (415) 256-9991
Website:
Map and Directions
Authorized official contact:
Name: Borgeson, David John MPT, MS
Phone: (415) 256-9990

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X PT24068 California

Profile Details

NPI number 1780935411
LBN Legal business name Mindful Physical Therapy
DBA Doing business as
Authorized official Borgeson, David John MPT, MS
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2012
Last updated Jan 7th, 2013 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1780935411 NPPES
California Other C3455707 CALIFORNIA CORPORATION NUMBER/S-CORP ENTITY ID

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