| NPI | 1114983640 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN L ANDERSON VP 650-558-0247 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225100000X Physical Therapist (Licence: CA PT010010) | |
| 225100000X Physical Therapist (Licence: CA PT9998) | |
| 225100000X Physical Therapist (Licence: CA PT3088) | |
| 225100000X Physical Therapist (Licence: CA PT9671) | |
| 225100000X Physical Therapist (Licence: CA PT9940) | |
| 225100000X Physical Therapist (Licence: CA PT9657) | |
| 225100000X Physical Therapist (Licence: CA PT24571) | |
| Enumeration Date | 2006-04-24 |
| Last Update Date | 2014-04-09 |