| NPI | 1174820146 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETH SHANNON GOMEZ Owner 949-338-0427 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: CA PT26517) |
| Enumeration Date | 2011-02-27 |
| Last Update Date | 2011-02-27 |