| NPI | 1093416273 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAYLOR HENDERSON Physical Therapist, Owner 949-229-0170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic |
| Enumeration Date | 2023-03-14 |
| Last Update Date | 2023-03-14 |