Search › California › 225100000X
Or Nativ, PT, CSCS
NPI 1588205587 · on the registry since 2019 · sole proprietor
Practice
- Address
- 2322 Powell St
Emeryville, CA 94608 - Phone
- (510) 653-5151
- Fax
- (510) 601-1358
- Organisation at this address
- Stac Physical Therapy Emeryville, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 10
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Sex
- Male
- Record last updated
- 2020-11-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California