| NPI | 1558435727 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA MINJARES MATTOX Physical Therapist Owner 415-986-4979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: CA PT8284) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2010-09-07 |