Organization
PACIFIC ORTHOPEDIC THERAPY GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER GRAY (MANAGER)
(925) 803-0224
Entity
Organization
Contact information
Practice address
5915 HOLLIS ST, BLDG A, EMERYVILLE, CA 94608
(510) 923-0700
Mailing address
1260 B ST, SUITE 250, HAYWARD, CA 94541-2971
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
Other
Enumeration date
06/22/2021
Last updated
06/22/2021
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