Christian Autumn Autumn Alvarez
Individual provider Active NPI Physical Therapist · Berkeley, CA
NPI 1659969855 · NPPES record last updated Jan 4, 2021
Key facts
- NPI
- 1659969855
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- Practice address
- 2222 Bancroft Way
Berkeley, CA 94720-4301 - Phone
- (510) 390-1423
- NPI assigned
- Jan 4, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Yes |
Addresses
Primary practice location
2222 Bancroft Way
Berkeley, CA 94720-4301
Mailing address
2222 Bancroft Way
Berkeley, CA 94720-4301
Other providers in Berkeley, CA
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- Dante Altamirano
- Margaret G Alter
- Alternative Legal and Psychological Services
- Ashley Samantha Alvarez
- Ricardo Alvarez
- Ariel Victoria Alvergue
- Raissa Alvero
- Alzheimers Services of the East Bay Inc
- American Current Care of California, a Medical Corporation
All providers in Berkeley, CA · Physical Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 4, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.