| NPI | 1972632172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARYL SIRCUS Executive Director 415-507-9800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT16863) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2020-08-22 |