NPI | 1275553034 |
---|---|
Former Legal Business Name | NONE |
Entity Type | Organization |
Authorized Contact | JAMIE LYNNETTE MASON Physical Therapist/Owner 805-644-1273 |
Organization Subpart ? | No |
Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: CA PT 15595) |
Enumeration Date | 2006-07-21 |
Last Update Date | 2020-09-24 |