| NPI | 1275690984 | 
|---|---|
| Doing Business As | MYOFASCIAL THERAPY | 
| Entity Type | Organization | 
| Authorized Contact | SARAH DELORENZO Billing Manger 408-376-0900 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 225100000X Physical Therapist | 
| Additional Taxonomies | 225700000X Massage Therapist | 
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2007-01-02 | 
| Last Update Date | 2018-08-16 |