Provider Demographics
NPI:1699298752
Name:PERLOFF, ISAAC (DPT)
Entity type:Individual
Prefix:
First Name:ISAAC
Middle Name:
Last Name:PERLOFF
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 410473
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94141-0473
Mailing Address - Country:US
Mailing Address - Phone:818-850-0183
Mailing Address - Fax:888-246-1403
Practice Address - Street 1:550 15TH ST
Practice Address - Street 2:STE 36A
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94103-5032
Practice Address - Country:US
Practice Address - Phone:415-833-2020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-20
Last Update Date:2019-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA293534225100000X
225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist