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 |