| NPI | 1457014896 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN BOWE-MCLEOD Billing Manager 760-433-7944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 261QP2000X Clinic/Center Physical Therapy |
| Enumeration Date | 2021-10-21 |
| Last Update Date | 2024-10-14 |