NPI | 1205221256 |
---|---|
Entity Type | Organization |
Authorized Contact | CHARLES WESLEY KING Owner 415-772-0997 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CA 41675) |
Enumeration Date | 2015-04-06 |
Last Update Date | 2017-01-25 |