| NPI | 1699257857 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL KATHARINE LANGE Owner 530-646-5205 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: CA 293605) |
| Enumeration Date | 2018-09-05 |
| Last Update Date | 2020-01-28 |