| NPI | 1003156951 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY R SHERROD CFO 916-276-6471 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OH 6850710001) |
| Enumeration Date | 2013-02-28 |
| Last Update Date | 2013-11-21 |