| NPI | 1730111089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID MICHAEL FACIANA Owner 805-530-3838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT19246) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT28530) |
| 225100000X Physical Therapist (Licence: CA PT24516) | |
| 225100000X Physical Therapist (Licence: CA PT28978) | |
| 225100000X Physical Therapist (Licence: CA PT27148) | |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2007-10-15 |