| 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 |