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 |