| NPI | 1164851671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA G. JOSE-DIZON President 805-512-2359 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: NY 0287481) |
| Additional Taxonomies | 261QP2000X Clinic/Center Physical Therapy (Licence: NJ 40QA01330300) |
| 261QP2000X Clinic/Center Physical Therapy (Licence: CA 37085) | |
| 261QP2000X Clinic/Center Physical Therapy | |
| Enumeration Date | 2013-11-05 |
| Last Update Date | 2022-08-11 |