| NPI | 1538917745 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOB RAY ANDERSON Physical Therapist/Business Owner 530-513-4538 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2024-05-11 |
| Last Update Date | 2024-05-11 |