| NPI | 1982881959 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY MARIE MENZ Owner/Physical Therapist 415-346-3853 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist Pediatrics (Licence: CA 26533) |
| Additional Taxonomies | 251E00000X Home Health (Licence: CA 26533) |
| Enumeration Date | 2008-01-22 |
| Last Update Date | 2008-01-22 |