Organization
BELLA AND BABY PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADRIANA PATRICIA MESA PT, MS (OWNER/PHYSICAL THERAPIST)
(831) 713-7457
Entity
Organization
Contact information
Practice address
4630 SOQUEL DR, STE 8C, SOQUEL, CA 95073-3100
(831) 713-7457
(831) 621-4701
Mailing address
4630 SOQUEL DR, STE 8C, SOQUEL, CA 95073-3100
(831) 713-7457
(831) 621-4701
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
35747
CA
2251P0200X
Pediatric Physical Therapist
35747
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1366671653
INDIVIDUAL NPI
—
Enumeration date
12/11/2009
Last updated
12/11/2009
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