Organization
BG MEDICAL, INC
Active
Other names
Challenger Sports Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT LESLIE BAKER PT, PHD, MBA, OCS (PRESIDENT)
(415) 847-7147
Entity
Organization
Contact information
Practice address
239 MAIN ST STE B, PLEASANTON, CA 94566-8220
(415) 847-7147
Mailing address
ROBERT BAKER, 1137 ESSEX ST, LIVERMORE, CA 94550-5538
(415) 847-7147
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
10/07/2022
Last updated
10/07/2022
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