| NPI | 1245358563 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD RUSSELL COX Director 209-572-4263 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT11937) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2020-08-22 |