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Bay Mobile Physical Therapy

Physical Therapist, Orthopedic in San Rafael, CA. Organization (NPI-2).

NPI number1962050658
StatusActive
Last updated in NPPESAug 27, 2019

Details

NPI
1962050658
Entity type
Organization (NPI-2)
Legal business name
Bay Mobile Physical Therapy
Organization subpart
No
Enumeration date
Aug 27, 2019
Last updated
Aug 27, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2251X0800X Physical Therapist, Orthopedic––Yes

Practice location

310 Channing Way Apt 312
San Rafael, CA 94903-2630

Phone 949-212-8749

Mailing address

310 Channing Way Apt 312
San Rafael, CA 94903-2630

Phone 949-212-8749

Authorized official

Colin Kendall McDannel
Owner
9492128749

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