Individual
JULIA MANDAPAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
110 LA CASA VIA STE 100, WALNUT CREEK, CA 94598-3000
(925) 935-4866
Mailing address
23 SAPPHIRE CT, HERCULES, CA 94547-1711
(925) 935-4866
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
50115
CA
Other
Enumeration date
09/08/2025
Last updated
09/08/2025
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