| NPI | 1013408434 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARRETT ROBERT DESROSIERS CEO 760-290-3121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 291404) |
| Enumeration Date | 2018-05-21 |
| Last Update Date | 2024-03-05 |