| NPI | 1316057771 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNN M HERBERT Owner 831-644-0450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: CA PT16302) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-08-22 |