Provider Demographics
NPI:1578937421
Name:ACMEE PELVIC WELLNESS
Entity Type:Organization
Organization Name:ACMEE PELVIC WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MEENAL
Authorized Official - Middle Name:
Authorized Official - Last Name:MUJUMDAR
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:650-603-0998
Mailing Address - Street 1:175 E EL CAMINO REAL
Mailing Address - Street 2:SUITE B
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:CA
Mailing Address - Zip Code:94040-2700
Mailing Address - Country:US
Mailing Address - Phone:650-603-0998
Mailing Address - Fax:
Practice Address - Street 1:175 E EL CAMINO REAL
Practice Address - Street 2:SUITE B
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:CA
Practice Address - Zip Code:94040-2700
Practice Address - Country:US
Practice Address - Phone:650-603-0998
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-16
Last Update Date:2015-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA36561225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty