| NPI | 1568710903 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY BETH WILUSZ SPENCER Manager 415-205-0719 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 18120) |
| Enumeration Date | 2012-08-15 |
| Last Update Date | 2012-08-16 |