IndividualActive
Marie Boo
NPI 1114460409 · Sports Physical Therapist · Stanford, CA
Provider details
- NPI number
- 1114460409
- Entity type
- Individual
- Primary specialty
- Sports Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 292142 (CA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
341 Galvez St
Stanford, CA 94305-6106
Phone: (650) 721-2062
Approximate (ZIP-level) locationGet directions
Mailing address
418 Brassinga Ct
Palo Alto, CA 94306-4498
Registry dates
- Enumerated
- 2016-11-18
- Last updated
- 2016-11-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.