| NPI | 1497780431 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVE FACIANA Owner 805-583-2400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT19246) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT28530) |
| 225100000X Physical Therapist (Licence: CA PT32476) | |
| 225100000X Physical Therapist (Licence: CA PT27148) | |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2020-08-22 |