| NPI | 1326845173 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGHAN THOMAS Credentialing Manager 858-412-6080 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2025-02-28 |
| Last Update Date | 2025-02-28 |