| NPI | 1194950667 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETH JACOBSON Owner 619-589-0850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CA PT8986) |
| Enumeration Date | 2009-05-27 |
| Last Update Date | 2009-05-27 |