| 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 |