| NPI | 1659745974 |
|---|---|
| Doing Business As | SLO REHABILITATION MEDICINE |
| Entity Type | Organization |
| Authorized Contact | LISA M GLEASON Physician 310-499-8365 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CA A108043) |
| Enumeration Date | 2015-11-24 |
| Last Update Date | 2015-11-24 |