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Koda Therapy Group
Pain Clinic/Center in Palo Alto, California
NPI 1689219594

Koda Therapy Group is a Pain Clinic/Center based in Palo Alto, CA and is specialized in Pain. Koda Therapy Group practices in Palo Alto, CA. The NPI Number for Koda Therapy Group is 1689219594 and holds a License No. (California).

The current practice location address for Koda Therapy Group is 2421 Park Blvd Ste B205, Palo Alto, CA and can be reached out via phone at 650-441-2894.

Location: 2421 Park Blvd Ste B205, Palo Alto, CA, 94306-1998
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1689219594
Provider Name
Koda Therapy Group
Credential
Provider Entity Type
Organization
Address
2421 Park Blvd Ste B205, Palo Alto, CA, 94306-1998
Phone Number
650-441-2894
Fax Number
Provider Enumeration Date
11/14/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1831751403 01 CA PROFESSIONAL
institution
Provider Business Practice Location Address Details
Address
2421 Park Blvd Ste B205
City
Palo Alto
State
California
Zip
94306-1998
Phone Number
650-441-2894
Fax Number
person
Provider Business Mailing Address Details
Address
2421 Park Blvd Ste B205
City
Palo Alto
State
California
Zip
94306-1998
Phone Number
650-441-2894
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Pain
Taxonomy
261QP3300X
License No.
()
Definition
Definition to come...
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