| NPI | 1447417357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOBBY ISMAIL President 209-353-1988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 261QP2000X Clinic/Center Physical Therapy | |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: WA OT00004122) | |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2023-12-06 |