| NPI | 1851634893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMIAH BEERY President 209-966-2251 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CA 32428) |
| Enumeration Date | 2013-03-28 |
| Last Update Date | 2023-02-20 |