Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251X0800X | Physical Therapist - Orthopedic | 300401 | CA |
NPI | 1073186904 |
---|---|
Provider Name | Stephen R Cabebe |
First Address | San Jose, CA 95148-4125 |
Second Address | Santa Clara, CA 95051-5173 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/07/2021 |
Last Update Date | 29/12/2021 |