NPI | 1205254877 |
---|---|
Entity Type | Organization |
Authorized Contact | KRISTIN FERGUSON Physical Therapist 916-977-0267 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CA PT 24972) |
Enumeration Date | 2014-04-01 |
Last Update Date | 2014-04-03 |