| NPI | 1285173567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTEN MARIE CARLESS Owner 805-714-5699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CA 113096) |
| Enumeration Date | 2017-02-20 |
| Last Update Date | 2019-05-03 |