| NPI | 1457829400 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND S PIERSON Physician/Owner 805-278-0212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2018-11-07 |
| Last Update Date | 2020-12-24 |