| 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 |