| NPI | 1114275112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER AMICA COHN Owner 510-964-0458 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CA A110257) |
| Enumeration Date | 2012-08-22 |
| Last Update Date | 2012-08-22 |