| NPI | 1346512506 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD WALDRON President 415-302-0456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: CA PT15104) |
| Enumeration Date | 2012-02-03 |
| Last Update Date | 2012-04-20 |