| NPI | 1215238399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUDRA MOORE Office Manager 858-454-9769 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CA 2877502) |
| Enumeration Date | 2010-11-05 |
| Last Update Date | 2010-11-05 |