NPI | 1679906242 |
---|---|
Entity Type | Organization |
Authorized Contact | SHANE CARPENTER President/ PT, D PT 831-419-8856 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CA 35208) |
Enumeration Date | 2013-08-18 |
Last Update Date | 2013-08-18 |