| NPI | 1497593602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON OLIVER SHEPARDSON Doctor Of Physical Therapy 831-999-0880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Enumeration Date | 2024-07-20 |
| Last Update Date | 2025-09-25 |