| NPI | 1316017163 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY E GRIMES Manager 925-855-0881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 2355S0801X Specialist/Technologist, Speech-Language Assistant | |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2020-08-22 |