NPI | 1568767309 |
---|---|
Doing Business As | LONGEVITY PHYSICAL THERAPY |
Entity Type | Organization |
Authorized Contact | BRETT WILLIAM BLOOM CEO/Owner 760-918-9200 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist |
Enumeration Date | 2011-01-25 |
Last Update Date | 2024-01-25 |