| NPI | 1033626775 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON MATTHEW ANTONIO Physical Therapist 209-633-3077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center Rehabilitation (Licence: CA 502370) |
| Enumeration Date | 2018-01-03 |
| Last Update Date | 2021-04-26 |