Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251S0007X | Physical Therapist - Sports |
NPI | 1497341218 |
---|---|
Provider Name | Mr. Paulo H Abreu |
First Address | Hayward, CA 94542-1538 |
Second Address | Hayward, CA 94542-1520 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/12/2020 |
Last Update Date | 16/12/2020 |