| NPI | 1750815239 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE MARTIN Physical Therapist 415-999-8625 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1287159) |
| Enumeration Date | 2017-04-12 |
| Last Update Date | 2017-04-12 |