| NPI | 1649610098 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON THAD STRACKER President 714-865-1076 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: CA PT29614) |
| Enumeration Date | 2013-06-30 |
| Last Update Date | 2013-06-30 |