| NPI | 1174055073 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAUL HUGO CAIMANQUE Owner & Director 415-824-4228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CA PT16150) |
| Enumeration Date | 2017-03-30 |
| Last Update Date | 2017-03-30 |