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 |