Provider Demographics
NPI:1346559952
Name:PRIETO, BABE DONATO (MPT)
Entity Type:Individual
Prefix:MR
First Name:BABE
Middle Name:DONATO
Last Name:PRIETO
Suffix:
Gender:M
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:413 WINDWOOD DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURG
Mailing Address - State:CA
Mailing Address - Zip Code:94565-7629
Mailing Address - Country:US
Mailing Address - Phone:510-384-7920
Mailing Address - Fax:925-709-0965
Practice Address - Street 1:413 WINDWOOD DR
Practice Address - Street 2:
Practice Address - City:PITTSBURG
Practice Address - State:CA
Practice Address - Zip Code:94565-7629
Practice Address - Country:US
Practice Address - Phone:510-384-7920
Practice Address - Fax:925-709-0965
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-30
Last Update Date:2010-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT 251932251G0304X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics