DR. FAHRIAL LICUDO, PT, DPT
Physical Therapist
Active
Individual
NPI: 1952100430
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physical Therapist | 225100000X | Yes | 307105 (CA) |
Frequently Asked Questions
NPI 1952100430 is the National Provider Identifier for DR. FAHRIAL LICUDO, PT, DPT, a Physical Therapist provider located in San Jose, CA. This NPI was enumerated on March 10, 2025.
DR. FAHRIAL LICUDO, PT, DPT practices at 250 HOSPITAL PKWY, San Jose, CA 95119.
Quick Facts
- NPI
- 1952100430
- Type
- Individual
- Enumerated
- Mar 10, 2025
- Last Updated
- Mar 10, 2025
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