| NPI | 1083085278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN EARL DOCKERY VP Rcm 760-607-9679 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2015-10-13 |
| Last Update Date | 2015-10-13 |