| NPI | 1225613904 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARA M HEINZE Physical Therapist 805-610-1416 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2021-03-14 |
| Last Update Date | 2022-03-09 |