| NPI | 1497848287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BLAIR ALAN BAKER Owner 951-769-8555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CA PT 26569) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: CA PT 27975) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2008-06-25 |