| NPI | 1548989668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN LLOYD BALTAZAR TRIEU-MALLARI Founder, CEO, PT 650-209-0120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251N0400X Physical Therapist, Neurology |
| Enumeration Date | 2022-08-23 |
| Last Update Date | 2022-08-23 |