| NPI | 1063168359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE ANN CARPENTIERI Director 510-399-0221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Additional Taxonomies | 213E00000X Podiatrist |
| 213ES0000X Podiatrist, Sports Medicine | |
| 213ES0131X Podiatrist, Foot Surgery | |
| 2251X0800X Physical Therapist, Orthopedic | |
| 225200000X Physical Therapy Assistant | |
| Enumeration Date | 2022-02-24 |
| Last Update Date | 2022-10-24 |