Organization
NEURO WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA RENEE INBAR-HANSEN MSPT (PHYSICAL THERAPIST)
(510) 845-5537
Entity
Organization
Contact information
Practice address
1356 UNIVERSITY AVE, BERKELEY, CA 94702-1711
(510) 845-5537
(510) 845-5537
Mailing address
1356 UNIVERSITY AVE, BERKELEY, CA 94702-1711
(510) 845-5537
(510) 845-5537
Taxonomy
Speciality
Code
Description
License number
State
2251N0400X
Neurology Physical Therapist
Primary
PT17507
CA
225XN1300X
Neurorehabilitation Occupational Therapist
OT5695
CA
Other
Enumeration date
11/09/2010
Last updated
11/09/2010
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