| NPI | 1942211669 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRED MAH Vice President 559-261-4100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: CA PT17168) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CA OT6214) |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2011-09-30 |