| NPI | 1104070002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC ROBERT STADTHERR Owner 559-782-1501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CA 30320) |
| Enumeration Date | 2008-11-05 |
| Last Update Date | 2008-11-05 |