| NPI | 1518119130 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY A SPENCER Owner/Physical Therapist 909-396-0309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 19387) |
| Enumeration Date | 2008-10-14 |
| Last Update Date | 2015-10-21 |