| NPI | 1699001685 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRK RICHARDS President 805-658-6964 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: CA PT26197) |
| Additional Taxonomies | 261QP2000X Clinic/Center Physical Therapy (Licence: CA PT25537) |
| Enumeration Date | 2009-10-26 |
| Last Update Date | 2009-10-26 |