Provider First Line Business Practice Location Address:
UNIVERSITY OF CALIFORNIA AT SAN FRANCISCO
Provider Second Line Business Practice Location Address:
BOX 0625, DEPT. PT AND REHAB SCI
Provider Business Practice Location Address City Name:
SAN FRANCISCO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94143-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
415-476-1715
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/27/2008