| NPI | 1275838476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLORA WESTON Owner, Physical Therapist 209-532-1288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: CA 35312) |
| Enumeration Date | 2011-01-19 |
| Last Update Date | 2011-08-11 |