| NPI | 1649779919 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLYNISS CLAUDETTE GREEN CEO / Physical Therapist 951-379-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 22650) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: CA 22650) |
| Enumeration Date | 2018-02-01 |
| Last Update Date | 2026-03-30 |