| NPI | 1104301258 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN JEFFREY MEAD Owner, Director, Managing Partner 949-502-3388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2018-09-25 |
| Last Update Date | 2018-12-10 |