| NPI | 1497771901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARRYL LANCE LOPEZ Vice President Sercetary 510-438-0294 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT18871) |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2011-03-18 |