Provider Demographics
NPI:1063090645
Name:OAFERINA, FLENJE (DPT)
Entity type:Individual
Prefix:MRS
First Name:FLENJE
Middle Name:
Last Name:OAFERINA
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4291 WARBLER LOOP
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94555-1155
Mailing Address - Country:US
Mailing Address - Phone:510-468-3050
Mailing Address - Fax:
Practice Address - Street 1:4291 WARBLER LOOP
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94555-1155
Practice Address - Country:US
Practice Address - Phone:510-468-3050
Practice Address - Fax:510-487-7842
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-01
Last Update Date:2021-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT26790225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist