MEDICARE: ACMEE PELVIC WELLNESS

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
1	225100000X	Physical Therapist	36561	CA

General Provider Information

NPI Number	:	1578937421
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACMEE PELVIC WELLNESS

Provider Business Mailing Address
First Line	:	175 E EL CAMINO REAL
Second Line	:	SUITE B
City	:	MOUNTAIN VIEW
State	:	CA
Zip	:	94040-2700
Country	:	US
Telephone Number	:	650-603-0998
Fax Number	:

Provider Business Practice Location Address
First Line	:	175 E EL CAMINO REAL
Second Line	:	SUITE B
City	:	MOUNTAIN VIEW
State	:	CA
Zip	:	94040-2700
Country	:	US
Telephone Number	:	650-603-0998
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MEENAL MUJUMDAR
Credential	:	PT
Telephone Number	:	650-603-0998

Provider Enumeration Date	:	11/16/2015
Last Update Date	:	11/16/2015

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Directions to “ACMEE PELVIC WELLNESS ” Practice Location

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