| NPI | 1326180381 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE WOLF Administrator 707-254-7175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Additional Taxonomies | 261QR0400X Clinic/Center Rehabilitation |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2020-08-22 |