Provider Demographics
NPI:1972124402
Name:NURTURING HEALTH PHYSICAL THERAPY
Entity Type:Organization
Organization Name:NURTURING HEALTH PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JANETTE
Authorized Official - Middle Name:SOFIA
Authorized Official - Last Name:CARIAD
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:510-327-5730
Mailing Address - Street 1:2041 BANCROFT WAY STE 303
Mailing Address - Street 2:
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94704-1406
Mailing Address - Country:US
Mailing Address - Phone:510-327-5730
Mailing Address - Fax:510-841-1033
Practice Address - Street 1:2041 BANCROFT WAY STE 303
Practice Address - Street 2:
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94704-1406
Practice Address - Country:US
Practice Address - Phone:510-327-5730
Practice Address - Fax:510-841-1033
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-06
Last Update Date:2020-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty