| NPI | 1093494171 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN MOWBRAY Owner/ Physical Therapist 831-419-2572 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251S0007X Physical Therapist, Sports |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2023-07-14 |
| Last Update Date | 2023-07-14 |