| NPI | 1568519114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE BOSWELL INNISS Owner, Physical Therapist 619-287-4678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2014-08-14 |