Provider Demographics
NPI:1548707755
Name:SINCHIOCO, ROSELLA (RPT)
Entity type:Individual
Prefix:
First Name:ROSELLA
Middle Name:
Last Name:SINCHIOCO
Suffix:
Gender:F
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2601 CORTEZ DR
Mailing Address - Street 2:#1202
Mailing Address - City:SANTA CLARA
Mailing Address - State:CA
Mailing Address - Zip Code:95051-0950
Mailing Address - Country:US
Mailing Address - Phone:508-493-7225
Mailing Address - Fax:
Practice Address - Street 1:2601 CORTEZ DR
Practice Address - Street 2:#1202
Practice Address - City:SANTA CLARA
Practice Address - State:CA
Practice Address - Zip Code:95051-0950
Practice Address - Country:US
Practice Address - Phone:508-493-7225
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-01-25
Last Update Date:2017-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT292659225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist