| NPI | 1194073148 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUDE REGINE RICARD President 858-412-4787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT33814) |
| Enumeration Date | 2012-08-23 |
| Last Update Date | 2012-08-23 |