| NPI | 1467949214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KURT W GRAHAM Owner 415-298-1678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: VA 0101259480) |
| Enumeration Date | 2018-04-17 |
| Last Update Date | 2018-04-17 |