| NPI | 1225119951 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT BRUCE MILLER Owner 510-795-7746 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CA A76380) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA A76380) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2015-09-28 |