| NPI | 1063189959 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PENNY L GOLDBERG Physical Therapist/Owner 619-672-1145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251S0007X Physical Therapist, Sports |
| Enumeration Date | 2021-08-27 |
| Last Update Date | 2022-03-22 |