| NPI | 1790967735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEIGH LANGERWERF Owner 530-891-8220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT29876) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2007-12-01 |
| Last Update Date | 2020-07-02 |