| NPI | 1659317204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOAN C MCCOMB Executive Director 619-291-8930 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2014-08-15 |