| NPI | 1164686507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDNA MAE C BAY Owner 619-474-3294 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CA PT17521) |
| Enumeration Date | 2008-07-15 |
| Last Update Date | 2008-07-15 |