| NPI | 1407180235 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRI ANN MCMAINS Owner 760-554-1244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CA 8047) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: CA PT 8074) |
| Enumeration Date | 2009-09-26 |
| Last Update Date | 2010-01-28 |