| NPI | 1750364808 |
|---|---|
| Doing Business As | MOONEYHAM PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | ANNE LASSON Vice President 408-570-0510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2008-01-28 |