| NPI | 1699791897 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SICLALIX JIMENEZ Office Manager 510-339-2116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT13625) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2020-08-06 |