| NPI | 1316103260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR RAMON CARLOS President 714-904-2918 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT26966) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CA OT1503) |
| Enumeration Date | 2008-07-30 |
| Last Update Date | 2008-12-08 |