Individual
BETHANY PAQUETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2587 MERCED ST, SAN LEANDRO, CA 94577-4207
(510) 351-3553
Mailing address
2587 MERCED ST, SAN LEANDRO, CA 94577-4207
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
39393
CA
Other
Enumeration date
08/30/2012
Last updated
08/30/2012
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