| NPI | 1043315161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH RONALDO ELUMBA President 949-300-3423 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT22423) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: CA PT22423) |
| 225XN1300X Occupational Therapist, Neurorehabilitation (Licence: CA OT2859) | |
| 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: CA OT2859) | |
| 225100000X Physical Therapist | |
| 2251E1200X Physical Therapist, Ergonomics (Licence: CA PT22423) | |
| 2251N0400X Physical Therapist, Neurology (Licence: CA PT22423) | |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2022-11-23 |