| NPI | 1235433731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | XANDRA TIELMAN Speech Pathologist 916-772-2909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: CA SLP9200) |
| Enumeration Date | 2010-12-27 |
| Last Update Date | 2010-12-27 |