| NPI | 1598809253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHELE LEE SHAW Office Manager 707-442-6463 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 225XH1200X Occupational Therapist Hand | |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2008-03-19 |