Individual
MRS. GRACIELA PAGANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4179 PIEDMONT AVE STE 201, OAKLAND, CA 94611-5187
(510) 388-3664
Mailing address
1037 AQUARIUS WAY, OAKLAND, CA 94611-1939
(510) 388-3664
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
24633
CA
2251P0200X
Pediatric Physical Therapist
Primary
24633
CA
2251X0800X
Orthopedic Physical Therapist
24633
CA
Other
Enumeration date
04/13/2010
Last updated
02/14/2019
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