| NPI | 1013942036 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY MANNING Director Of Revenue Cycle/Billing 209-768-4621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2019-09-13 |