| NPI | 1740504927 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID CLIETT BRADSHAW Owner/Physician 510-964-0458 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CA C38599) |
| Enumeration Date | 2010-03-17 |
| Last Update Date | 2010-03-17 |