| NPI | 1396125373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVANIA CASTLE Billing / Credentialing 619-432-4634 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2022-09-12 |