NPI | 1659827632 |
---|---|
Entity Type | Organization |
Authorized Contact | PETER CHRISTOPHER LINGAS President 707-339-0711 |
Organization Subpart ? | No |
Primary Taxonomy | 2251S0007X Physical Therapist, Sports (Licence: CA PT37158) |
Enumeration Date | 2016-08-30 |
Last Update Date | 2016-08-30 |