| NPI | 1144536574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY A ELGOHARY Principal Officer 510-964-0458 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2010-08-23 |
| Last Update Date | 2011-06-13 |