| NPI | 1336554260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTEN JENNIFER ROHDE Owner 805-647-0177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: CA SP21685) |
| Enumeration Date | 2014-06-30 |
| Last Update Date | 2018-01-31 |