Organization
OSO PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN THOMAS FEDEWA PT, DPT (COO)
(616) 617-6325
Entity
Organization
Contact information
Practice address
1726 CLEMENT AVE, ALAMEDA, CA 94501-1205
(510) 915-1448
Mailing address
222 LAGUNARIA LN, ALAMEDA, CA 94502-6702
(616) 617-6325
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
02/03/2025
Last updated
02/03/2025
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