| NPI | 1154339513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMIL ALVAREZ Owner 951-735-7815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 20785) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CA 7178) |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2010-12-03 |