| NPI | 1508914037 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA M MALAWEY CFO Secretary 760-715-4789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT20832) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2020-08-22 |