| NPI | 1699251256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVANIA CASTLE Billing Manager / Credentialing 619-432-4634 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 294658) |
| Enumeration Date | 2018-07-17 |
| Last Update Date | 2022-09-12 |