| NPI | 1891988473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BUSTER F PORTER Physical Therapist 916-734-6700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA PT17781) |
| Enumeration Date | 2007-08-27 |
| Last Update Date | 2007-08-27 |