| NPI | 1750865358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA RENEE D'ANTONOLI Office Manager 916-932-4163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2018-09-19 |
| Last Update Date | 2018-09-19 |