| NPI | 1053664128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA MCGANN FRIEDMAN PT, CEO 415-694-9451 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: CA 34892) |
| Enumeration Date | 2012-10-25 |
| Last Update Date | 2012-12-20 |