| NPI | 1932948585 |
|---|---|
| Doing Business As | EXPERIENCE PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | CALVIN LEE President 510-371-1178 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2024-05-23 |
| Last Update Date | 2024-05-23 |