| NPI | 1871610287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RISA MACDONALD Owner 916-457-8802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CA PT92590) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2007-08-14 |