| NPI | 1861494031 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IDA L CORYELL HIRST Physical Therapist/Owner 925-417-8005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT13904) |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2016-11-29 |