| NPI | 1063858470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DUSTIENNE MILLER Owner 707-968-7378 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: CA 39830) |
| Enumeration Date | 2013-05-13 |
| Last Update Date | 2013-05-13 |