| NPI | 1386681732 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARYLIZA JAZMIN PRADO President/Executive Director 619-422-0404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2023-08-16 |