| NPI | 1063784395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUDE REGINE RICARD President 619-621-9215 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 33814) |
| Enumeration Date | 2012-02-01 |
| Last Update Date | 2018-12-17 |