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MARYALICE OSHANA BIONDI PT

>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1033127790

Individual Registrant:
 MARYALICE OSHANA BIONDI PT
Gender: F
Not Sole Proprietor

Location and contact information for practice:
85 LIBERTY SHIP WAY STE 103 SAUSALITO, CA 94965 US
Tel: 415-332-6061  Fax: 415-332-6051

Contact information for business:
85 LIBERTY SHIP WAY STE 103 SAUSALITO, CA 94965 US
Tel: 415-332-6061  Fax: 415-332-6051

Registration Information:
NPI: 1033127790
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
CAOPT153480

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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