| NPI | 1518902683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE MARY CRESSWELL Owner Administrator 530-244-7686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT13809) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CA OT5351) |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2007-12-18 |