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Organization
RISE PHYSICAL THERAPY AND PILATES INC.
Active
Organization
RISE PHYSICAL THERAPY AND PILATES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE MIDTLYNG (OWNER)
(925) 719-1516
Entity
Organization
Contact information
Practice address
1550 PARKSIDE DR, WALNUT CREEK, CA 94596-3515
(925) 719-1516
Mailing address
1550 PARKSIDE DR, WALNUT CREEK, CA 94596-3515
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
261QH0700X
Hearing and Speech Clinic/Center
—
NULL
261QP2000X
Physical Therapy Clinic/Center
—
NULL
261QX0100X
Occupational Medicine Clinic/Center
—
NULL
Other
Enumeration date
11/05/2019
Last updated
11/05/2019
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