| NPI | 1639713340 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OR NATIV Director/President 650-796-4048 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2251G0304X Physical Therapist Geriatrics |
| 2251H1200X Physical Therapist Hand | |
| 2251P0200X Physical Therapist Pediatrics | |
| 2251S0007X Physical Therapist Sports | |
| 2251X0800X Physical Therapist Orthopedic | |
| Enumeration Date | 2019-11-06 |
| Last Update Date | 2025-03-28 |