| NPI | 1619263266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE FLECK Owner/Otr 714-836-7886 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CA PT 11241) |
| Additional Taxonomies | 261QD1600X Clinic/Center, Developmental Disabilities (Licence: CA OT 3204) |
| Enumeration Date | 2011-06-22 |
| Last Update Date | 2011-06-22 |