| NPI | 1700816691 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHONDA HOANG Admin 415-776-1646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CA PT 25031) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: CA PT9854) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2018-07-23 |