| NPI | 1558143735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE KATHRYN CORREIA-JEFFERS Owner/Operator 530-638-5848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2023-10-20 |
| Last Update Date | 2023-10-20 |