| NPI | 1598799561 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY ASTA KRUEGER Owner 619-444-6113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: CA PT5391) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2020-08-22 |