| NPI | 1528065588 |
|---|---|
| Doing Business As | DBA PROFESSIONAL PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | DENNUS A. RICHARDS Pres/Owner 949-916-2601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA W15939) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT5808) |
| Enumeration Date | 2005-07-06 |
| Last Update Date | 2013-02-13 |