| NPI | 1477749315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN ALEN KENT Administrator 805-963-9377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CA PT12281) |
| Enumeration Date | 2007-09-24 |
| Last Update Date | 2007-09-24 |