| NPI | 1548397474 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH ANN LOGUE President 657-464-9628 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251G0304X Physical Therapist, Geriatrics (Licence: CA 21503) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2011-07-05 |