| NPI | 1659580322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID C. BOUTELLE President Owner 760-591-7750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225XH1200X Occupational Therapist, Hand |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2010-03-05 |