NPI | 1649288648 |
---|---|
Entity Type | Organization |
Authorized Contact | ALYSA KOREEN CAULFIELD Owner Physical Therapist 916-446-1497 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
Additional Taxonomies | 225100000X Physical Therapist |
Enumeration Date | 2006-08-04 |
Last Update Date | 2019-10-22 |