| NPI | 1316976020 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACI DANETTE MARTINES Manager 559-674-5100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 23974) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2020-08-22 |