| NPI | 1043305824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES EDWIN ST VINCENT Owner/Physical Therapist 805-541-4717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT5452) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2011-11-22 |