| NPI | 1649141318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN EARL CARSON CEO/CFO/President 805-231-7467 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2025-09-16 |
| Last Update Date | 2025-11-11 |