| NPI | 1457977142 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAYLEE MARIE SMITH CEO, Doctor Of Physical Therapy 858-683-3292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2020-06-18 |
| Last Update Date | 2020-06-18 |