| NPI | 1942454301 |
|---|---|
| Former Legal Business Name | INNER BALANCED PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | GAYLE PATRICE Physical Therapist 707-839-7790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT13287) |
| Enumeration Date | 2008-11-12 |
| Last Update Date | 2008-11-12 |