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Organization

PREFERRED HEALTHCARE REGISTRY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KAY LYNN SCHREVE P.T.A. (PHYSICAL THERAPIST ASSISTANT)
(415) 823-4641
Entity
Organization

Contact information

Practice address
4655 RUFFNER ST, SUITE 270, SAN DIEGO, CA 92111-2275
(800) 787-6787
Mailing address
1738 SPRUCE ST, APT. C, BERKELEY, CA 94709-1758
(415) 823-4641

Taxonomy

Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
1891
CA
282N00000X
General Acute Care Hospital
Primary
1891
CA

Other

Enumeration date
07/20/2007
Last updated
03/19/2009
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