| NPI | 1881079259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY LEE HALLARCES Owner/Physical Therapist 408-781-2511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CA PT 39125) |
| Enumeration Date | 2015-07-27 |
| Last Update Date | 2015-07-27 |