| NPI | 1023106119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHYLISS TORRES-SMITH Office Manager 805-466-8711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT 8187) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2015-09-22 |