NPI | 1780083980 |
---|---|
Entity Type | Organization |
Authorized Contact | RUEL WARRINER ABIAD Chief Executive Officer 510-205-1642 |
Organization Subpart ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CA PT 28065) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CA OT 8343) |
Enumeration Date | 2014-08-14 |
Last Update Date | 2014-08-14 |