| NPI | 1538201546 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA DONOVAN MARTINEZ Owner 707-829-3282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT13313) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2007-09-25 |