| NPI | 1558659383 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI KAY STOTKO CEO 650-245-2844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CA 521) |
| Enumeration Date | 2011-07-14 |
| Last Update Date | 2011-08-29 |