| NPI | 1659063816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID PEIG CEO 909-618-5309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2023-05-24 |
| Last Update Date | 2024-12-06 |