| NPI | 1093222077 |
|---|---|
| Doing Business As | ST. JOSEPH VILLA |
| Doing Business As | ST. JOSEPH PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | SOON BURNAM Delegated Official 949-540-1249 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2017-12-29 |
| Last Update Date | 2018-02-12 |