| NPI | 1861986887 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE A ARNETT Credentialing Manager 209-915-0355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Enumeration Date | 2018-06-22 |
| Last Update Date | 2018-06-22 |