| NPI | 1174662803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD B AZCARATE President 415-777-5009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: CA OPT220300) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2020-08-22 |