NPI | 1609857945 |
---|---|
Entity Type | Organization |
Authorized Contact | KRISTEN JOY GLIDEWELL Owner/Administrator 916-934-0914 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
Enumeration Date | 2005-11-11 |
Last Update Date | 2018-01-22 |