NPI | 1194123802 |
---|---|
Entity Type | Organization |
Authorized Contact | VAN CHARLES WILLIAMS Owner/Physical Therapist 530-945-7294 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT21859) |
Enumeration Date | 2014-12-11 |
Last Update Date | 2014-12-11 |