| NPI | 1003781980 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SKYE GRAYSON Owner 760-489-1969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204R00000X Electrodiagnostic Medicine |
| Additional Taxonomies | 225100000X Physical Therapist |
| 2251E1300X Physical Therapist, Electrophysiology, Clinical | |
| Enumeration Date | 2025-10-09 |
| Last Update Date | 2025-10-09 |