| NPI | 1689886764 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHAEL M.E. LARSON Owner,President 805-878-9868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT21474) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |