| NPI | 1083646483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL NORMAN HERNANDEZ President 530-893-1366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT10638) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2013-03-26 |