| NPI | 1083905277 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF NICHOLL Physical Therapist 805-388-5678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: CA 17739) |
| Enumeration Date | 2011-04-22 |
| Last Update Date | 2011-04-22 |