| NPI | 1619776259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA ROSE BRUSO Owner/President 707-791-5835 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2025-03-07 |
| Last Update Date | 2025-03-07 |