| NPI | 1164518437 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES RICHARD FELDER Owner 951-273-7742 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CA 624596) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2020-08-22 |