| NPI | 1447890165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA JAMES FISCHER CFO 831-920-3838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081N0008X Physical Medicine & Rehabilitation Neuromuscular Medicine |
| Enumeration Date | 2020-01-10 |
| Last Update Date | 2021-06-01 |