| NPI | 1518177344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN DAVID PRESTON Physical Therapist Assistant 209-480-1235 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283X00000X Rehabilitation Hospital (Licence: CA 8334) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-08-22 |