| NPI | 1033237243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOANE Q CHAMBERLAIN Owner President 805-777-7172 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT10625) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2020-08-22 |