| NPI | 1376696914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA L STORNETTA Accountant Iii Compliance 707-565-4782 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2020-08-22 |