| NPI | 1407096589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDICE AQUINO CLAUDIO Physical Therapist 619-397-3077 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 26793) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: CA 26793) |
| Enumeration Date | 2009-03-02 |
| Last Update Date | 2010-01-11 |