Organization
MIND-BODY MOVEMENT CENTER PHYSICAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIANNA JEANNETTE MERIAGE-REITER PT, DPT, C-IAYT (PT, OWNER, CEO)
(510) 522-2843
Entity
Organization
Contact information
Practice address
1124 BALLENA BLVD STE D, ALAMEDA, CA 94501-3655
(510) 522-2843
Mailing address
1124 BALLENA BLVD STE D, ALAMEDA, CA 94501-3655
(510) 522-2843
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
05/13/2019
Last updated
05/13/2019
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