| NPI | 1881064418 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL SCATES President 855-999-7342 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CA 41179) |
| Enumeration Date | 2015-09-25 |
| Last Update Date | 2015-09-25 |