NPI | 1255850293 |
---|---|
Entity Type | Organization |
Authorized Contact | NEIL MCKENNA President 760-909-2355 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 25475) |
Additional Taxonomies | 225100000X Physical Therapist |
261QP2000X Clinic/Center, Physical Therapy (Licence: CA 25475) | |
Enumeration Date | 2017-09-11 |
Last Update Date | 2022-07-21 |