| NPI | 1225152630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACKLYN JOAN EGNOR Office Manager 408-558-9518 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CA 19820) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2020-08-22 |