| NPI | 1639239031 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SERGEY YEVTUK Office Manager 916-454-0184 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT249580) |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2020-08-22 |