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Organization

WELLNESS & REHABILITATION PHYSICAL THERAPY & PILATES

Active
Other names
Wellhab
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. BECKY LOUISE SHEAFFER-EGAN P.T. (PHYSICAL THERAPIST, CEO)
(831) 768-9707
Entity
Organization

Contact information

Practice address
7960 SOQUEL DRIVE, SUITE I, APTOS, CA 95003-3990
(831) 768-9707
(831) 661-0296
Mailing address
7960 SOQUEL DRIVE, SUITE I, APTOS, CA 95003-3990
(831) 768-9707
(831) 661-0296

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT21556
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P00377324
RAILROAD MEDICARE
CA
Enumeration date
02/13/2009
Last updated
05/15/2015
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