Organization
PILATES - PHYSICAL THERAPY & PILATES CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAGDA ANNE BOULAY DPT (PHYSICAL THERAPIST, OWNER)
(510) 545-6586
Entity
Organization
Contact information
Practice address
2345 BROADWAY, OAKLAND, CA 94612-2414
(510) 545-6586
Mailing address
2568 MAXWELL AVE, OAKLAND, CA 94601-5522
(510) 717-4424
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
32202
CA
Other
Enumeration date
11/14/2017
Last updated
11/14/2017
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