Provider Demographics
NPI:1215000690
Name:THE BODY RX CENTER
Entity type:Organization
Organization Name:THE BODY RX CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST, OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:SIQUIG
Authorized Official - Last Name:TRINIDAD
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:408-439-4254
Mailing Address - Street 1:466 ROADING DR
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95123-4230
Mailing Address - Country:US
Mailing Address - Phone:408-430-4254
Mailing Address - Fax:408-629-8504
Practice Address - Street 1:466 ROADING DR
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95123-4230
Practice Address - Country:US
Practice Address - Phone:408-430-4254
Practice Address - Fax:408-239-4583
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-16
Last Update Date:2010-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA27163261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy