Individual
MR. ADAM BALDUEZA QUEZON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
110 41ST ST, OAKLAND, CA 94611-5250
(510) 596-2600
Mailing address
1921 26TH AVE APT 5, OAKLAND, CA 94601-1739
(805) 415-4635
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA49079
CA
Other
Enumeration date
02/17/2019
Last updated
02/17/2019
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