| NPI | 1346513793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY BENSON President 619-795-7790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: CA 0T 9142) |
| Enumeration Date | 2012-02-15 |
| Last Update Date | 2012-02-15 |