| NPI | 1558720565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN FONG Physical Therapist 415-921-1211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 291194) |
| Enumeration Date | 2016-02-18 |
| Last Update Date | 2016-02-18 |