| NPI | 1538558887 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMEN ARLEEN PAGETT Owner 916-259-2510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CA 34710) |
| Enumeration Date | 2015-01-09 |
| Last Update Date | 2015-01-09 |