| NPI | 1619908514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN THORSON Owner/Physical Therapist 949-216-9300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 14945) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2020-08-22 |