| NPI | 1962109751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREL HASSEBROCK-SHANLEY Managing Member/Owner 530-448-6033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2023-02-13 |
| Last Update Date | 2023-02-13 |