| NPI | 1033793971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES MICHAEL MANANSALA HERNANDEZ Owner, Physical Therapist 551-216-7358 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2021-05-06 |
| Last Update Date | 2021-05-06 |