| NPI | 1457069650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAITLYNNE ELIZABETH IRELAND Owner, Physical Therapist 949-584-7787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2022-11-07 |
| Last Update Date | 2022-11-07 |