| NPI | 1881367308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA PORTERFIELD Physical Therapist 916-496-4386 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2021-07-29 |
| Last Update Date | 2021-07-29 |