| NPI | 1518249671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIRON REESE CASSIDY Owner 408-540-6722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CA 26803) |
| Enumeration Date | 2011-09-15 |
| Last Update Date | 2017-02-02 |