| NPI | 1356405583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY NICOLE HIGHTOWER Office Manager 650-345-2739 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251S0007X Physical Therapist Sports (Licence: CA PT1423X) |
| Additional Taxonomies | 2251S0007X Physical Therapist Sports (Licence: CA PT29585) |
| 2251S0007X Physical Therapist Sports (Licence: CA PT28347) | |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2022-08-04 |