| NPI | 1023569795 |
|---|---|
| Doing Business As | SOUTHLAND PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | SHAWN JEFFREY MEAD Clinical Manager 949-627-8800 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 40531) |
| Enumeration Date | 2016-10-18 |
| Last Update Date | 2016-10-18 |