| NPI | 1871726133 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSH VANCE Owner 559-592-7117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CA PT25845) |
| Enumeration Date | 2009-09-02 |
| Last Update Date | 2018-05-15 |