| NPI | 1174911135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY S. WOOD President/ CEO 949-444-9917 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics |
| Enumeration Date | 2014-12-29 |
| Last Update Date | 2016-11-04 |