| NPI | 1699860353 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEIF E MCGUIRE President/Owner 559-438-8531 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251S0007X Physical Therapist, Sports (Licence: CA PT18761) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT18761) |
| 2251C2600X (Licence: CA PT18761) | |
| 2251G0304X Physical Therapist, Geriatrics (Licence: CA PT18761) | |
| 2251X0800X Physical Therapist, Orthopedic (Licence: CA PT18761) | |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2025-09-11 |