NPI | 1528097482 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT JAMES MACDONALD President 714-843-9077 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: PT24666) |
Enumeration Date | 2006-07-02 |
Last Update Date | 2020-08-22 |