| NPI | 1407503634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE DAWN SANFORD Supervising Therapist 831-247-9501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2022-03-08 |
| Last Update Date | 2022-03-08 |