| NPI | 1215151139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRK THOMAS BRADLEY President Director 209-951-3265 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT 23700) |
| Additional Taxonomies | 2251E1200X Physical Therapist, Ergonomics (Licence: CA PT 23700) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2020-08-22 |