| NPI | 1477207892 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAY Y BIRCH CEO 408-518-1198 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 225XP0019X Occupational Therapist, Physical Rehabilitation |
| 261QP2000X Clinic/Center, Physical Therapy | |
| 261QR0400X Clinic/Center, Rehabilitation | |
| Enumeration Date | 2022-02-04 |
| Last Update Date | 2022-05-12 |