| NPI | 1275015042 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATIE BETTINA GRUBB Owner 619-866-8494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: CA PT20419) |
| Enumeration Date | 2018-08-29 |
| Last Update Date | 2019-02-04 |