MEDICARE: MRS. BADHRAKUMARI HAJRATWALA P.T.

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	25433	CA
2	225100000X	Physical Therapist	5501002284	MI

General Provider Information

NPI Number	:	1801838156
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. BADHRAKUMARI HAJRATWALA P.T.

Provider Business Mailing Address
First Line	:	847 E ANGELA ST
Second Line	:
City	:	PLEASANTON
State	:	CA
Zip	:	94566-7568
Country	:	US
Telephone Number	:	925-846-3521
Fax Number	:	925-846-3811

Provider Business Practice Location Address
First Line	:	2805 WHIPPLE RD
Second Line	:
City	:	UNION CITY
State	:	CA
Zip	:	94587-1233
Country	:	US
Telephone Number	:	510-441-8906
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/12/2006
Last Update Date	:	07/08/2007

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