Organization
COLLABORATIVE MEDICAL REHABILITATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY A ELGOHARY (PRINCIPAL OFFICER)
(510) 964-0458
Entity
Organization
Contact information
Practice address
7030 BUCKINGHAM BLVD, BERKELEY, CA 94705-1713
(510) 964-0458
Mailing address
7030 BUCKINGHAM BLVD, BERKELEY, CA 94705-1713
(510) 964-0458
(510) 964-0476
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
08/23/2010
Last updated
06/13/2011
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