NPI | 1033755566 |
---|---|
Entity Type | Organization |
Authorized Contact | CLARISA ODELL Insurance Systems Analyst 650-867-0522 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist |
Additional Taxonomies | 225X00000X Occupational Therapist |
235Z00000X Speech-Language Pathologist, | |
Enumeration Date | 2019-11-19 |
Last Update Date | 2022-08-11 |