Organization
BODYWISE PHYSICAL THERAPY
Active
Other names
The Spine Center
Organization subpart
No
Provider details
NPI number
Authorized official
JUDITH L WOHLBERG (OWNER)
(707) 825-0800
Entity
Organization
Contact information
Practice address
801 CRESCENT WAY, STE 3, ARCATA, CA 95521
(707) 825-0800
(707) 825-0885
Mailing address
801 CRESCENT WAY, STE 3, ARCATA, CA 95521
(707) 825-0800
(707) 825-0885
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ65809Z
BLUE SHIELD
CA
Enumeration date
07/04/2006
Last updated
08/07/2008
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