| NPI | 1689752834 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID SEVERSON Owner/Director 408-263-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CA 09361) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2020-08-22 |