| NPI | 1528170669 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAYNE A BROBERG Owner Physical Therapist 408-927-0871 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2007-10-16 |