Healthcare Provider Details

I. General information

NPI: 1477024925
Provider Name (Legal Business Name): AWARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/10/2018
Last Update Date: 12/10/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3330 ST MARYS RD
LAFAYETTE CA
94549-5149
US

IV. Provider business mailing address

3559 MT DIABLO BLVD STE 151
LAFAYETTE CA
94549-8302
US

V. Phone/Fax

Practice location:
  • Phone: 650-804-0350
  • Fax:
Mailing address:
  • Phone: 650-804-0350
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number
License Number State

VIII. Authorized Official

Name: DR. HEIDI OJHA
Title or Position: OWNER
Credential: DPT
Phone: 650-804-0350