| NPI | 1396561460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH PETRUS Business Administrator / Manager 805-494-4145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2024-11-22 |
| Last Update Date | 2024-11-22 |