| NPI | 1730480633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA RENEE INBAR-HANSEN Physical Therapist 510-845-5537 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251N0400X Physical Therapist, Neurology (Licence: CA PT17507) |
| Additional Taxonomies | 225XN1300X Occupational Therapist, Neurorehabilitation (Licence: CA OT5695) |
| Enumeration Date | 2010-11-09 |
| Last Update Date | 2010-11-09 |