| NPI | 1619360443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE DRAGOO BARANICK Physical Therapist 714-724-2575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251G0304X Physical Therapist, Geriatrics (Licence: CA W20234) |
| Enumeration Date | 2015-03-18 |
| Last Update Date | 2015-03-18 |