| NPI | 1255446860 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY JAMES CARLSON President 949-713-7939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251G0304X Physical Therapist, Geriatrics (Licence: CA 19033) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2013-02-28 |