| NPI | 1467774927 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN BAKER President/Owner 951-500-9219 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: CA 6699) |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 235Z00000X Speech-Language Pathologist, | |
| 224Z00000X Occupational Therapy Assistant | |
| 225100000X Physical Therapist | |
| 164X00000X Licensed Vocational Nurse | |
| 163W00000X Registered Nurse | |
| 374U00000X Home Health Aide | |
| 376K00000X Nurse's Aide | |
| Enumeration Date | 2010-02-24 |
| Last Update Date | 2011-02-20 |