| NPI | 1497211585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN MARIE HUGHES BAKER Physical Therapist/Owner 209-606-6066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2019-02-14 |
| Last Update Date | 2019-04-04 |