NPI | 1205153848 |
---|---|
Entity Type | Organization |
Authorized Contact | FAVOR LASHBROOK Office Manager 760-757-0222 |
Organization Subpart ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CA 20A9611) |
Enumeration Date | 2010-04-21 |
Last Update Date | 2011-06-06 |