| NPI | 1558794677 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNA SLIGAR Owner/Director 714-356-4440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 0011657) |
| Enumeration Date | 2013-08-12 |
| Last Update Date | 2013-08-12 |