| NPI | 1780755546 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELICA LEON Billing Manager 559-431-6700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT 248270) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2019-10-30 |