| NPI | 1104026459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN CHRISTINE FOX Owner, CEO 805-497-0388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CA 22425B) |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2015-08-12 |