Aaron David Bass-Cetinich, PT
Physical Therapist in Berkeley, CA. Individual provider (NPI-1).
NPI number1760103766
StatusActive
Last updated in NPPESSep 7, 2022
Details
- NPI
- 1760103766
- Entity type
- Individual (NPI-1)
- Name
- Aaron David Bass-Cetinich
- Credential
- PT
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 7, 2022
- Certification date
- Sep 6, 2022
- Last updated
- Sep 7, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT302687 | CA | Yes |
Practice location
2001 Fourth StBerkeley, CA 94710
Phone 510-833-6880
Mailing address
1421 66th StBerkeley, CA 94702-2702
Phone 510-847-6769
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