| NPI | 1184808800 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN LOUISE DANIEL President 760-434-3314 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WV0400X Optometrist Vision Therapy (Licence: CA COR1136) |
| Enumeration Date | 2007-12-18 |
| Last Update Date | 2008-12-19 |