NPI | 1508383324 |
---|---|
Entity Type | Organization |
Authorized Contact | CAROLINE VIDENA Administrator 925-785-0872 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 38866) |
Enumeration Date | 2017-08-23 |
Last Update Date | 2017-08-23 |