| NPI | 1154729390 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVANIA CASTLE Billing Manager 619-432-4634 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 208D00000X General Practice |
| 2251X0800X Physical Therapist, Orthopedic | |
| Enumeration Date | 2014-12-19 |
| Last Update Date | 2022-09-12 |