| NPI | 1134670011 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA WOODY Hr Coordinator 858-514-0375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT291419) |
| Enumeration Date | 2016-10-17 |
| Last Update Date | 2016-10-17 |