| NPI | 1508147877 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASEY CARPENTER Director 714-761-2775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 171100000X Acupuncturist |
| 225700000X Massage Therapist | |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2011-08-31 |
| Last Update Date | 2011-08-31 |