| NPI | 1659703502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK ANDREW SHULMAN Owner/CEO 619-544-1055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 36879) |
| Enumeration Date | 2013-08-02 |
| Last Update Date | 2024-07-15 |