| NPI | 1619560794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA E GOTSCHALL Physical Therapist 408-307-1199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2021-02-19 |
| Last Update Date | 2021-02-19 |