| NPI | 1023114055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOURDES BELLA LAREZA BOURDON President 650-947-0121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 24819) |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2020-08-22 |