Provider Demographics
NPI:1699164905
Name:HALILI, ALMA V
Entity type:Individual
Prefix:
First Name:ALMA
Middle Name:V
Last Name:HALILI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1265 N CAPITOL AVE
Mailing Address - Street 2:# 39
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95132-2518
Mailing Address - Country:US
Mailing Address - Phone:408-643-1347
Mailing Address - Fax:
Practice Address - Street 1:75 N 13TH ST
Practice Address - Street 2:SAN JOSE HEALTHCARE AND WELLNESS CENTER
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95112-3439
Practice Address - Country:US
Practice Address - Phone:408-295-2665
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-10
Last Update Date:2015-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAT 9248225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant