| NPI | 1639747116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER PATRICK ALLOS President 619-504-0434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2251S0007X Physical Therapist, Sports |
| 2251X0800X Physical Therapist, Orthopedic | |
| Enumeration Date | 2021-06-11 |
| Last Update Date | 2021-06-11 |