| NPI | 1922272525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELAINE L PICO Owner 510-558-8074 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine (Licence: CA G83371) |
| Enumeration Date | 2008-04-15 |
| Last Update Date | 2008-04-15 |