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Organization
FLEX PHYSICAL THERAPY AND FITNESS
Active
Organization
FLEX PHYSICAL THERAPY AND FITNESS
Active
Other names
Flex Physical Therapy and Fitness
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAMELA B WAIN M.P.T (PHYSICAL THERAPIST)
(510) 655-3060
Entity
Organization
Contact information
Practice address
4266 BROADWAY, OAKLAND, CA 94611-5130
(510) 655-3060
(510) 655-2065
Mailing address
4266 BROADWAY, OAKLAND, CA 94611-5130
(510) 655-3060
(510) 655-2065
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18003
PHYSICAL THERAPIST
CA
01
—
23332
PHYSICAL THERAPIST
CA
01
—
27339
PHYSICAL THERAPIST
CA
Enumeration date
07/14/2006
Last updated
04/18/2008
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