| NPI | 1740906320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH MICHEAL CICINELLI CEO/Physical Therapist 650-239-0832 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2022-10-17 |
| Last Update Date | 2024-03-17 |