| NPI | 1043634140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA MUTH Director 916-346-1839 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2014-02-10 |
| Last Update Date | 2014-07-21 |