Provider Demographics
NPI:1194975904
Name:RYNZ CORP
Entity type:Organization
Organization Name:RYNZ CORP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:GRAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:925-803-0224
Mailing Address - Street 1:1700 PARK ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:ALAMEDA
Mailing Address - State:CA
Mailing Address - Zip Code:94501-1416
Mailing Address - Country:US
Mailing Address - Phone:925-803-0224
Mailing Address - Fax:925-803-0225
Practice Address - Street 1:1700 PARK ST
Practice Address - Street 2:SUITE 200
Practice Address - City:ALAMEDA
Practice Address - State:CA
Practice Address - Zip Code:94501-1416
Practice Address - Country:US
Practice Address - Phone:925-803-0224
Practice Address - Fax:925-803-0225
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-29
Last Update Date:2014-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty