| NPI | 1366180465 |
|---|---|
| Former Legal Business Name | INSPIRE FUNCTIONAL REHABILITATION AND FITNESS |
| Entity Type | Organization |
| Authorized Contact | MARY JOHNSON Owner/Therapist 209-969-2426 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2022-05-27 |
| Last Update Date | 2022-07-19 |