Individual
MARY K POPYLISEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, ATC
Contact information
Practice address
2222 BANCROFT EXT, BERKELEY, CA 94720-4300
(510) 642-5651
(510) 643-5079
Mailing address
4436 HYACINTH AVE, OAKLAND, CA 94619-2816
(510) 482-5510
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
16912
CA
2255A2300X
Athletic Trainer
Primary
80680
CA
Other
Enumeration date
05/24/2007
Last updated
09/11/2025
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