| NPI | 1134361264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERI LEE ALLEY Credentialing COO Rdinator 858-565-1300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2009-04-06 |
| Last Update Date | 2009-04-06 |