| NPI | 1992787477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK D EDDY Owner 916-927-1333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2017-11-27 |