| NPI | 1407002561 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA FITZGERALD Owner 949-595-8635 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CA 3121618) |
| Enumeration Date | 2008-08-08 |
| Last Update Date | 2008-08-08 |