| NPI | 1427469733 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER BOLLINGER Physical Therapist 714-580-4484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT 37734) |
| Enumeration Date | 2014-05-09 |
| Last Update Date | 2014-06-04 |