| NPI | 1538356191 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON LEIGH LOTT Office Manager/Biller 805-658-8300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CA PT28451) |
| Enumeration Date | 2007-09-27 |
| Last Update Date | 2007-09-27 |