| NPI | 1578642567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMACHANDRA RAJU MANTENA Physical Therapist 408-763-8099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 39439) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2021-06-09 |