| NPI | 1508492521 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SORAYA AHMADI-NIA ROUDSARI Physical Therapist 408-512-9157 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic |
| Enumeration Date | 2020-03-21 |
| Last Update Date | 2020-03-25 |