Doctor Name: | JOAN SHEPHERD MELLOWS |
NPI Number: | 1134258478 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T. |
License Number: | PT 13295 |
Business Practice Address: | 5700 Telegraph Ave Suite 200 Oakland, CA - 946091710 |
Business Phone Number: | 5102041788 |
Business Fax Number: | 5106582231 |
Mailing Address: | 3920 Atlas Ave, OAKLAND |
State: | CA |
Postal Code: | 946191552 |
Phone Number: | 5104824074 |
Fax Number: | |
NPI Enumeration Date: | 03/04/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT 13295 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |