Provider Demographics
NPI:1902594740
Name:MARCI SILVERBERG PHYSICAL THERAPY INC
Entity Type:Organization
Organization Name:MARCI SILVERBERG PHYSICAL THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARCI
Authorized Official - Middle Name:
Authorized Official - Last Name:SILVERBERG
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:415-604-6182
Mailing Address - Street 1:165 N REDWOOD DR STE 130
Mailing Address - Street 2:
Mailing Address - City:SAN RAFAEL
Mailing Address - State:CA
Mailing Address - Zip Code:94903-1969
Mailing Address - Country:US
Mailing Address - Phone:415-233-8488
Mailing Address - Fax:415-299-8227
Practice Address - Street 1:165 N REDWOOD DR STE 130
Practice Address - Street 2:
Practice Address - City:SAN RAFAEL
Practice Address - State:CA
Practice Address - Zip Code:94903-1969
Practice Address - Country:US
Practice Address - Phone:415-233-8488
Practice Address - Fax:415-299-8227
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-28
Last Update Date:2023-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy