| NPI | 1063687531 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ANN BURKE Owner/President 805-239-3696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: CA PT16770) |
| Enumeration Date | 2008-04-25 |
| Last Update Date | 2008-04-25 |