| NPI | 1023103330 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANETTE BARRACK CEO 619-667-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XH1200X Occupational Therapist, Hand |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: CA 11265) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: CA 10428) | |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-08-20 |