| NPI | 1518578186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY TRAN Physical Therapist 949-419-4776 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine |
| Enumeration Date | 2020-08-16 |
| Last Update Date | 2020-08-16 |