| NPI | 1295866200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRY WAYNE TROXELL Co Owner/ President 559-661-1611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CA 225200000X) |
| Additional Taxonomies | 261QP2000X Clinic/Center Physical Therapy |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2024-05-22 |