| NPI | 1104127554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEOVARDO CHAVEZ Physical Therapist / President 209-524-7488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CA 27941) |
| Enumeration Date | 2010-11-16 |
| Last Update Date | 2022-03-31 |