Individual
BOPHA TEP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1340 ARNOLD DR STE 110, MARTINEZ, CA 94553-4189
(925) 387-9808
Mailing address
1340 ARNOLD DR STE 110, MARTINEZ, CA 94553-4189
(925) 387-9808
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
PSB94027357
CA
Other
Enumeration date
11/08/2024
Last updated
04/18/2025
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