| NPI | 1629865241 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW BEATY CEO 619-730-5014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic |
| Additional Taxonomies | 2251S0007X Physical Therapist, Sports |
| Enumeration Date | 2025-04-24 |
| Last Update Date | 2025-04-24 |