| NPI | 1063959930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NADINE CERQUA Owner 760-758-4770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CA PT23729) |
| Enumeration Date | 2017-01-30 |
| Last Update Date | 2017-01-30 |