| NPI | 1124517123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRINA MURAVYEVA Administrative Director 805-795-7656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2018-05-04 |
| Last Update Date | 2018-05-04 |