Provider Demographics
NPI:1083897052
Name:OHEA, JOSEPH PATRICK (PHYSICAL THERAPIST)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:PATRICK
Last Name:OHEA
Suffix:
Gender:M
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:1901 SHORELINE DR APT 105
Mailing Address - Street 2:
Mailing Address - City:ALAMEDA
Mailing Address - State:CA
Mailing Address - Zip Code:94501-6013
Mailing Address - Country:US
Mailing Address - Phone:215-696-0700
Mailing Address - Fax:
Practice Address - Street 1:1814 FRANKLIN ST STE 905
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94612-3439
Practice Address - Country:US
Practice Address - Phone:510-893-7463
Practice Address - Fax:510-893-9432
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-12
Last Update Date:2007-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA33622261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy