Doctor Name: | MAGDA A BOULAY |
NPI Number: | 1801982525 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | PT32202 |
Business Practice Address: | 2000 Center St Ste 308 Berkeley, CA - 947041223 |
Business Phone Number: | 5106443031 |
Business Fax Number: | 5106443911 |
Mailing Address: | 2000 Center St Ste 308, BERKELEY |
State: | CA |
Postal Code: | 947041223 |
Phone Number: | 5106443031 |
Fax Number: | 5106443911 |
NPI Enumeration Date: | 10/04/2006 |
NPI Last Update Date: | 07/31/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT32202 |
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 |