| NPI | 1629487517 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN LAMAR BRICE President 559-800-7476 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CA C54371) |
| Enumeration Date | 2014-08-05 |
| Last Update Date | 2014-09-15 |