| NPI | 1679598528 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY JOANN NOSEK Physical Therapist Owner 949-273-6766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT23314) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT23144) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2020-08-22 |