| NPI | 1427638832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASMINE GONZALEZ Payer Operations Supervisor 916-232-3047 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2021-04-09 |
| Last Update Date | 2026-02-06 |