ADAM BALDUEZA QUEZON

OAKLAND, CA
NPI1790241503
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: CA  PTA49079)
Enumeration Date2019-02-17
Last Update Date2019-02-17
Business Address
Mr. ADAM BALDUEZA QUEZON PTA
110 41ST ST
OAKLAND, CA 94611-5250
Phone number: 510-596-2600
Mailing Address
Mr. ADAM BALDUEZA QUEZON PTA
1921 26TH AVE APT 5
OAKLAND, CA 94601-1739
Phone number: 805-415-4635