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Lakeview Functional Rehab
Orthopedic Physical Therapist in Oakland, California
NPI 1487875829

Lakeview Functional Rehab is a Orthopedic Physical Therapist based in Oakland, CA and is specialized in Orthopedic. Lakeview Functional Rehab practices in Oakland, CA. The NPI Number for Lakeview Functional Rehab is 1487875829 and holds a License No. PT10397 (California).

The current practice location address for Lakeview Functional Rehab is 373 Hanover Ave, Oakland, CA and can be reached out via phone at 510-451-5560 and via fax at 510-451-5564.

Location: 373 Hanover Ave, Oakland, CA, 94606-1372
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1487875829
Provider Name
Lakeview Functional Rehab
Credential
Provider Entity Type
Organization
Address
373 Hanover Ave, Oakland, CA, 94606-1372
Phone Number
510-451-5560
Fax Number
510-451-5564
Provider Enumeration Date
05/02/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ZZZ36501Z 01 CA BLUE SHIELD PROVIDER #
institution
Provider Business Practice Location Address Details
Address
373 Hanover Ave
City
Oakland
State
California
Zip
94606-1372
Phone Number
510-451-5560
Fax Number
510-451-5564
person
Provider Business Mailing Address Details
Address
373 Hanover Ave
City
Oakland
State
California
Zip
94606-1372
Phone Number
510-451-5560
Fax Number
510-451-5564
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Orthopedic
Taxonomy
2251X0800X
License No.
PT10397 (California)
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
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