Healthcare Provider Details

I. General information

NPI: 1891395836
Provider Name (Legal Business Name): KATRINA BUHAGIAR DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/28/2020
Last Update Date: 10/28/2020
Certification Date: 10/28/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1470 CIVIC CT STE 320
CONCORD CA
94520-5230
US

IV. Provider business mailing address

1470 CIVIC CT STE 320
CONCORD CA
94520-5230
US

V. Phone/Fax

Practice location:
  • Phone: 925-326-2211
  • Fax:
Mailing address:
  • Phone: 925-326-2211
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT299029
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: