| NPI | 1619994399 |
|---|---|
| Doing Business As | 29TH STREET PHYSICAL THERAPY & HAND REHABILIATION |
| Entity Type | Organization |
| Authorized Contact | MARK MCCOY President 916-747-3302 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2007-09-07 |