| NPI | 1861672958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINA MARY VILLA Admin. Direcor / Secretary 925-556-4310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: CA PT 34053) |
| Additional Taxonomies | 261QP2000X Clinic/Center Physical Therapy (Licence: CA PT 23848) |
| Enumeration Date | 2007-11-06 |
| Last Update Date | 2008-06-18 |