Individual
MR. JOHN EMBODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
13939 E 14TH ST, STE. #150, SAN LEANDRO, CA 94578-2613
(510) 343-8300
(510) 343-8302
Mailing address
5266 KATRINA CT, CASTRO VALLEY, CA 94546-2540
(510) 583-7858
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT3719
CA
Other
Enumeration date
02/15/2007
Last updated
07/09/2007
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