| NPI | 1073674479 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD W PETERSEN President 408-733-0400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 111N00000X Chiropractor |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2025-09-11 |