Popylisen, Mary K

Popylisen, Mary K is an individual health care provider with primary practice located at 2222 Bancroft Ext , Berkeley CA 94720-4300. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Popylisen, Mary K can be contacted via phone (510) 642-5651.

Contact Information

Primary practice address
2222 Bancroft Ext Berkeley CA 94720-4300
Phone: (510) 642-5651
Fax: (510) 643-5079
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 16912 California
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 80680 California

Profile Details

NPI number 1245441237
LBN Legal business name Popylisen, Mary K
Credentials PT, ATC
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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