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NPI Code Detail

MEDICARE: BRANDI BOBROWSKI CMT

MEDICARE: BRANDI BOBROWSKI CMT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225700000XMassage Therapist64054CA

General Provider Information

NPI Number : 1043682636
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRANDI BOBROWSKI CMT
Provider Business Mailing Address
First Line : 711 W 25TH ST
Second Line :
City : MERCED
State : CA
Zip : 95340-3625
Country : US
Telephone Number : 209-658-0326
Fax Number :
Provider Business Practice Location Address
First Line : 3181 COLLINS DR
Second Line : STE B
City : MERCED
State : CA
Zip : 95348-3159
Country : US
Telephone Number : 209-658-0326
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/22/2015
Last Update Date : 10/22/2015

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Directions to “ BRANDI BOBROWSKI CMT” Practice Location

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