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Organization

ELLEN BIER PHYSICAL THERAPY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. ELLEN SHIRLEY BIER P.T. (OWNER)
(510) 843-9110
Entity
Organization

Contact information

Practice address
3031 TELEGRAPH AVE, STE 131, BERKELEY, CA 94705-2051
(510) 843-9110
(510) 843-9110
Mailing address
3031 TELEGRAPH AVE, STE 131, BERKELEY, CA 94705-2051
(510) 843-9110
(510) 843-9110

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
11806
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
ZZZ09236Z
BLUE SHIELD PROVIDER #
CA
Enumeration date
05/18/2007
Last updated
08/22/2020
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