| NPI | 1164668141 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER BASA CEO 760-687-3541 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CA PT28665) |
| Enumeration Date | 2008-12-23 |
| Last Update Date | 2009-05-17 |