| NPI | 1144257429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND GRAY President 949-770-6022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2020-08-22 |