| NPI | 1639195761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS BRENT JOHNSON Owner/Physical Therapist 805-439-2159 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT14568) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2016-09-13 |