| NPI | 1689762221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUISE R COMORA Practice Administrator 415-686-1145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2019-12-12 |