| NPI | 1477605061 |
|---|---|
| Other Name | ALL STAR |
| Entity Type | Organization |
| Authorized Contact | DARLENE MARGARET AYERS Bus Manager 559-582-9323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT13939) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2010-05-11 |