NPI | 1245520196 |
---|---|
Entity Type | Organization |
Authorized Contact | LIA JENNINGS President 805-477-0909 |
Organization Subpart ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CA PT 17114) |
Enumeration Date | 2011-04-12 |
Last Update Date | 2014-06-24 |