Organization
BAY AREA REHAB SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LORENZO HERNANDEZ OTR (OWNER)
(732) 810-5532
Entity
Organization
Contact information
Practice address
1309 ALLSTON WAY, BERKELEY, CA 94702-1920
(510) 848-8774
Mailing address
1419 GRAND ST APT 102, ALAMEDA, CA 94501-2538
(732) 810-5532
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
—
—
2355S0801X
Speech-Language Assistant
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
05/01/2023
Last updated
05/01/2023
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