| NPI | 1487723631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRY JACKSON Business Manager 510-526-2353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT8674) |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2015-12-01 |