Organization Name: | BELLA AND BABY PHYSICAL THERAPY |
NPI Number: | 1093044547 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ADRIANA PATRICIA MESA (OWNER/PHYSICAL THERAPIST) |
Mailing Address: | 4630 Soquel Dr Ste 8c Soquel |
State: | CA US |
Postal Code: | 950733100 |
Phone Number: | 8317137457 |
Fax Number: | 8316214701 |
NPI Enumeration Date: | 12/11/2009 |
NPI Last Update Date: | 12/11/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251P0200X |
License Number: | 35747 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |