NPI | 1649779919 |
---|---|
Entity Type | Organization |
Authorized Contact | GLYNISS CLAUDETTE GREEN Owner / 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 | 2025-10-09 |