NPI | 1124456868 |
---|---|
Entity Type | Organization |
Authorized Contact | BRIAN WILSON President 858-752-8423 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CA PT 33609) |
Enumeration Date | 2013-10-16 |
Last Update Date | 2020-01-15 |