| NPI | 1417056227 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE GEMENTERA Office Manager 619-437-6450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: CA PT17427) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2007-09-26 |