| NPI | 1346101714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURENZA MIJARES Rehabilitation Practitioner 951-807-2833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner |
| Enumeration Date | 2025-11-24 |
| Last Update Date | 2025-11-24 |