| NPI | 1730588575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARY COSTA CEO 971-998-4484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: CA PT37671) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT37671) |
| 2251C2600X (Licence: CA PT37671) | |
| 2251E1200X Physical Therapist, Ergonomics (Licence: CA PT37671) | |
| 2251G0304X Physical Therapist, Geriatrics (Licence: CA PT37671) | |
| 2251H1200X Physical Therapist, Hand (Licence: CA PT37671) | |
| 2251N0400X Physical Therapist, Neurology (Licence: CA PT37671) | |
| 2251P0200X Physical Therapist, Pediatrics (Licence: CA PT37671) | |
| 2251S0007X Physical Therapist, Sports (Licence: CA PT37671) | |
| Enumeration Date | 2014-08-18 |
| Last Update Date | 2016-04-14 |