| NPI | 1730531310 |
|---|---|
| Doing Business As | GO MUSCULOSKELETAL PHYSICAL THERAPY & SPORTS MEDICINE |
| Entity Type | Organization |
| Authorized Contact | FIDE MALDONADO Billing Manager 650-851-1145 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2016-07-07 |
| Last Update Date | 2016-07-07 |