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 |