| NPI | 1134166838 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN MICHAEL MCKEOWN Authorized Official 619-295-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT 6689) |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2018-02-16 |