| NPI | 1740611359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEAH R NOTTINGHAM VP, Clinic Services 415-533-4863 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2013-12-06 |
| Last Update Date | 2014-05-02 |