| NPI | 1407806771 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COREY D. GOULD Owner 949-859-6600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 111N00000X Chiropractor |
| 208D00000X General Practice | |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2025-05-16 |