| NPI | 1083090252 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF WILSON Physical Therapist, Owner 805-535-4400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CA PT21563) |
| Enumeration Date | 2015-08-10 |
| Last Update Date | 2020-08-14 |