| NPI | 1386038123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOLLIE ELIZABETH TANJOCO Physical Therapist/ Owner 916-206-3612 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: CA 30218) |
| Enumeration Date | 2015-03-18 |
| Last Update Date | 2015-03-18 |