| NPI | 1205727146 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHAEL LYNN KEAST Physical Therapist 209-639-3165 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic |
| Enumeration Date | 2025-07-10 |
| Last Update Date | 2025-09-08 |