| 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 |