| NPI | 1659482990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW BRIANT SCHATZ Owner 949-540-0301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: CA PT 25356) |
| Additional Taxonomies | 261QP2000X Clinic/Center Physical Therapy |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2018-10-01 |