| NPI | 1063469567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE LYNN JOHNKE Director 415-359-1444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XH1200X Occupational Therapist, Hand |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2018-09-20 |