| NPI | 1740424910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEE HASKIN Owner 805-239-1202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CA PT17156) |
| Enumeration Date | 2009-04-30 |
| Last Update Date | 2021-08-17 |