| NPI | 1528105103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAIL ORTIZ Office Manager 925-838-9846 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT12472) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2013-12-05 |