| NPI | 1972249456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL NGUYEN Owner 510-913-2394 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic |
| Enumeration Date | 2022-05-09 |
| Last Update Date | 2022-05-09 |