| NPI | 1376602268 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN R PACILLAS CEO 559-679-2797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT22909) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: CA PT22909) |
| 231H00000X Audiologist (Licence: CA SP9406) | |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2018-08-16 |