Healthcare Provider Details

I. General information

NPI: 1437014834
Provider Name (Legal Business Name): ERIC NUBLA MOBILE PHYSICAL THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

36662 CHARLES ST
NEWARK CA
94560-2610
US

IV. Provider business mailing address

36662 CHARLES ST
NEWARK CA
94560-2610
US

V. Phone/Fax

Practice location:
  • Phone: 925-549-1592
  • Fax:
Mailing address:
  • Phone: 925-549-1592
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: ERIC NUBLA
Title or Position: OWNER/PHYSICAL THERAPIST
Credential: DPT, PT
Phone: 925-549-1592