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Mary Douglas Fortin
Pediatric Physical Therapist in Santa Clara, California
NPI 1215091947

Mary Douglas Fortin is a Pediatric Physical Therapist based in San Jose, CA and is specialized in Pediatrics. Mary Douglas Fortin practices in Santa Clara, CA. The NPI Number for Mary Douglas Fortin is 1215091947 and holds a License No. PT10606 (California).

The current practice location address for Mary Douglas Fortin is 710 Lawerence Expressway, Dept.174, Santa Clara, CA and can be reached out via phone at 408-851-1495 and via fax at 408-851-1499.

Location: 710 Lawerence Expressway, Dept.174, Santa Clara, CA, 95124-5720
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215091947
Provider Name
Mary Douglas Fortin
Credential
Provider Entity Type
Individual
Gender
Female
Address
710 Lawerence Expressway, Dept.174, Santa Clara, CA, 95124-5720
Phone Number
408-851-1495
Fax Number
408-851-1499
Provider Enumeration Date
12/20/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
710 Lawerence Expressway, Dept.174
City
Santa Clara
State
California
Zip
95051
Phone Number
408-851-1495
Fax Number
408-851-1499
person
Provider Business Mailing Address Details
Address
710 Lawerence Expressway, Dept.174
City
Santa Clara
State
California
Zip
95051
Phone Number
408-851-1495
Fax Number
408-851-1499
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Pediatrics
Taxonomy
2251P0200X
License No.
PT10606 (California)
Definition
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 therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
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