| NPI | 1013560960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KOSAL BO Executive Director 415-353-7235 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0400X Clinic/Center Rehabilitation |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| 225XP0019X Occupational Therapist Physical Rehabilitation | |
| 235Z00000X Speech-Language Pathologist | |
| 261QP2000X Clinic/Center Physical Therapy | |
| 261QX0100X Clinic/Center Occupational Medicine | |
| Enumeration Date | 2019-07-19 |
| Last Update Date | 2019-07-19 |