| NPI | 1326476847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLYN ELIZABETH RANKIN-MARTINEZ Owner/CEO 925-550-3532 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CA OT 6553) |
| Additional Taxonomies | 261QR0400X Clinic/Center, Rehabilitation (Licence: CA OT 6553) |
| Enumeration Date | 2013-10-18 |
| Last Update Date | 2014-03-18 |