| NPI | 1417576588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOGOL PEDRAM CEO 559-326-8395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2020-04-09 |
| Last Update Date | 2020-04-09 |