NPI | 1720117104 |
---|---|
Doing Business As | SANDERSON IVEY PHYSICAL THERAPY |
Entity Type | Organization |
Authorized Contact | KEVIN DALE IVEY President 530-273-4152 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: CA PT20829) |
Enumeration Date | 2007-03-03 |
Last Update Date | 2019-07-08 |