Organization
BABY BUILDERS, INC
Active
Organization
BABY BUILDERS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GRACIELA PAGANO PHYSICAL THERAPIST (CHIEF EXECUTIVE OFFICE)
(510) 388-3664
Entity
Organization
Contact information
Practice address
4179 PIEDMONT AVE, SUITE #201, OAKLAND, CA 94611-5186
(510) 388-3664
(510) 740-3491
Mailing address
1037 AQUARIUS WAY, OAKLAND, CA 94611-1939
(510) 388-3664
(510) 740-3491
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
24633
CA
2251P0200X
Pediatric Physical Therapist
Primary
24633
CA
2251S0007X
Sports Physical Therapist
24633
CA
2251X0800X
Orthopedic Physical Therapist
24633
CA
225XP0200X
Pediatric Occupational Therapist
10612
CA
Other
Enumeration date
10/16/2009
Last updated
08/15/2019
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