| NPI | 1194940189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICK KIMBALL GOSS Physical Therapist 530-222-5188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 26399) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2008-08-25 |