| NPI | 1578150231 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN LEE President/Owner 415-225-2333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic |
| Enumeration Date | 2020-12-29 |
| Last Update Date | 2020-12-29 |