NPI | 1790115376 |
---|---|
Entity Type | Organization |
Authorized Contact | LISE MCCARTHY Chief Executive Officer 415-665-4953 |
Organization Subpart ? | No |
Primary Taxonomy | 2251G0304X Physical Therapist, Geriatrics (Licence: CA 25270) |
Enumeration Date | 2013-11-19 |
Last Update Date | 2013-11-19 |