| NPI | 1104917095 |
|---|---|
| Doing Business As | SPORTS ARENA PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | MARY LYDIA ENGLES Owner/Operator 619-226-4131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CA PT6252) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2012-05-07 |