| NPI | 1063489276 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA S OLSON Physical Therapist 559-435-6735 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 30136) |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2020-08-22 |