Organization
JAY WEST PHYSICAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH WESTLAKE PT (OWNER)
(201) 916-6746
Entity
Organization
Contact information
Practice address
6125 MEDAU PL, OAKLAND, CA 94611-2808
(201) 916-6746
Mailing address
362 EUCLID AVE APT 107, OAKLAND, CA 94610-3239
(201) 916-6746
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1376922336
—
CA
Enumeration date
05/01/2021
Last updated
06/10/2024
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