NPI | 1245730092 |
---|---|
Doing Business As | LEVEL4 PHYSIO-WELLNESS-PERFORMANCE |
Entity Type | Organization |
Authorized Contact | CHRISTOPHER INGSTAD Cf) 760-503-4440 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
Enumeration Date | 2018-02-19 |
Last Update Date | 2018-02-19 |