| NPI | 1982627949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW ALAN SMITH Owner 916-983-5611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 26357) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 16050) |
| 2251E1200X Physical Therapist, Ergonomics (Licence: CA 12318) | |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2012-02-06 |