| NPI | 1306121801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN STAHL Physical Therapist 530-409-7103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: CA 9135) |
| Enumeration Date | 2011-10-15 |
| Last Update Date | 2011-10-15 |