| NPI | 1285820183 |
|---|---|
| Doing Business As | PROFESSIONAL PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | DENNUS A. RICHARDS Owner 949-916-2601 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225000000X Orthotic Fitter (Licence: CA PT5808) |
| Enumeration Date | 2007-09-25 |
| Last Update Date | 2013-04-09 |