| NPI | 1316981038 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZEPHIA FAY BOCK President 760-773-1144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CA 18012) |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2020-08-22 |