| NPI | 1124050190 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVE FACIANA Owner 805-530-3838 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT19246) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2020-08-14 |