| NPI | 1053518332 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL PELLETIER Co Owner Physical Therapist 415-425-1524 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ME 3114) |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2007-11-13 |