| NPI | 1952518714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDRE CYRIL MALIN Owner 510-758-1111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CA PT11158) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2008-07-16 |