MEDICARE: LIBRA PELVIC PHYSICAL THERAPY, P.C.

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	261QP2000X	Physical Therapy Clinic/Center

General Provider Information

NPI Number	:	1942197082
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIBRA PELVIC PHYSICAL THERAPY, P.C.

Provider Business Mailing Address
First Line	:	855 MARINA BAY PKWY STE 290
Second Line	:
City	:	RICHMOND
State	:	CA
Zip	:	94804-6429
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	855 MARINA BAY PKWY STE 290
Second Line	:
City	:	RICHMOND
State	:	CA
Zip	:	94804-6429
Country	:	US
Telephone Number	:	510-984-2112
Fax Number	:

Authorized Official
Title or Position	:	CEO, PRESIDENT
Name	:	JILLIAN CERDA RAMOS
Credential	:
Telephone Number	:	510-984-2112

Provider Enumeration Date	:	06/20/2025
Last Update Date	:	06/20/2025

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