| NPI | 1952511461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEVRA ANNE BOMMARITO President 209-599-7073 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 15780) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2013-03-22 |