| NPI | 1346672797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEAH RENE NOTTINGHAM Director Of Operations 415-533-4863 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2013-08-07 |
| Last Update Date | 2013-08-07 |