| NPI | 1841669710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLAS KING Physical Therapist Assistant 209-576-0888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: CA AT11025) |
| Enumeration Date | 2015-09-21 |
| Last Update Date | 2015-09-21 |