| NPI | 1194964536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER FANCHON QUIRAM Office Manager 559-782-1501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CA PT91850) |
| Enumeration Date | 2009-02-09 |
| Last Update Date | 2009-02-09 |