| NPI | 1639657000 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLEEN MARIE LIAGA Owner/ Physical Therapist 951-733-6637 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CA PT25203) |
| Enumeration Date | 2018-07-30 |
| Last Update Date | 2018-11-16 |