| NPI | 1538174925 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE JUDD BORGQUIST Owner/President 714-847-8751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2013-04-05 |