| NPI | 1497963664 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY CARTER GLICK Secretary/Treasurer 559-627-3274 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CA BL021941) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 1497963664) |
| Enumeration Date | 2007-05-19 |
| Last Update Date | 2011-10-27 |