| NPI | 1730745522 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIANE NYGAARD Owner, Physical Therapist 510-858-0771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2019-05-16 |
| Last Update Date | 2020-01-14 |