| NPI | 1750592044 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW MICHAEL SCERRI Administrator 510-222-8080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 19723) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 12835) |
| 225100000X Physical Therapist (Licence: CA 22298) | |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2020-08-22 |