| NPI | 1023269222 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANESSA MARIE JACKSON Doctor Of Physical Therapy 858-349-4869 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 394995) |
| Enumeration Date | 2008-10-06 |
| Last Update Date | 2017-02-24 |