| NPI | 1174338842 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN GRINICH Operations Administrator 415-704-7979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2025-02-10 |
| Last Update Date | 2025-02-10 |