| NPI | 1194142299 |
|---|---|
| Doing Business As | LONGEVITY PT |
| Entity Type | Organization |
| Authorized Contact | OLIVIA NUNEZ Office Manager 619-251-0520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 41136) |
| Enumeration Date | 2014-03-26 |
| Last Update Date | 2014-03-26 |