NPI | 1235316993 |
---|---|
Entity Type | Organization |
Authorized Contact | SHERI L WHITE-HACKLEY CFO 707-961-1606 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: CA PT14615) |
Enumeration Date | 2008-01-24 |
Last Update Date | 2018-12-07 |