| NPI | 1558245076 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAILY KETANBHAI SHAH President 510-936-4392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2025-08-05 |
| Last Update Date | 2025-08-05 |