| NPI | 1558512327 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT RUSSELL Owner/Physical Therapist 209-827-6178 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CA pt23597) |
| Enumeration Date | 2008-10-09 |
| Last Update Date | 2024-07-19 |