| NPI | 1285136978 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN DAWSON Owner 760-542-8419 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CA 294612) |
| Enumeration Date | 2018-03-08 |
| Last Update Date | 2018-03-08 |