| NPI | 1689030769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON TA Physical Therapy Assistant 408-821-6101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: CA AT11188) |
| Enumeration Date | 2016-01-05 |
| Last Update Date | 2016-01-05 |