| NPI | 1972309326 |
|---|---|
| Doing Business As | CENTER FOR SPORTS REHABILITATION AND ACTIVE LIVING |
| Entity Type | Organization |
| Authorized Contact | SIRI NELSON CEO 530-626-2658 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2025-02-24 |
| Last Update Date | 2025-02-24 |