| NPI | 1669787818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOBBY ISMAIL President 209-353-1988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: WA 00003695) |
| Enumeration Date | 2010-08-12 |
| Last Update Date | 2023-12-06 |