| NPI | 1013176775 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL JOSEPH IACOVELLI President, Physical Therapist 415-380-9242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2008-06-06 |
| Last Update Date | 2008-06-06 |