| NPI | 1750537585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRODIE JAMES PACK Owner 949-443-0713 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: CA 28869) |
| Enumeration Date | 2008-08-12 |
| Last Update Date | 2008-10-27 |