Individual
BRENDA LUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
450 30TH ST, OAKLAND, CA 94609-3302
(510) 655-4000
Mailing address
351 KENILWORTH AVE, SAN LEANDRO, CA 94577-1911
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
39670
CA
Other
Enumeration date
10/28/2015
Last updated
10/28/2015
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