NPI | 1942664438 |
---|---|
Entity Type | Organization |
Authorized Contact | ERICK KIMBLE GOSS Owner/D PT 530-222-5188 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CA PT26399) |
Enumeration Date | 2016-04-11 |
Last Update Date | 2016-04-15 |