| 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 |