| NPI | 1912923319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BECKY LOUISE SHEAFFER-EGAN Owner 831-768-9707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT 21556) |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2020-08-22 |