| NPI | 1023435237 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CALEB FONTES President 209-262-8494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CA 33464) |
| Enumeration Date | 2014-03-25 |
| Last Update Date | 2014-03-25 |