| NPI | 1992218887 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAGDA ANNE BOULAY Physical Therapist, Owner 510-545-6586 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CA 32202) |
| Enumeration Date | 2017-11-14 |
| Last Update Date | 2017-11-14 |