| NPI | 1336859834 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNQUENETT BROWN Director Of Intake And Revenue 760-568-9811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2022-11-25 |
| Last Update Date | 2026-05-19 |