| NPI | 1114981925 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANIJEH EZATVAR Register Physical Therapist 805-375-0001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 19200) |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2007-12-20 |