| NPI | 1417626284 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAYSON BRYANT MERRILL Physical Therapist 925-876-9872 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2021-09-07 |
| Last Update Date | 2021-09-20 |