| NPI | 1760793236 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLY MARIE ALLIS Physical Therapist/Owner 805-473-7499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 3295955) |
| Enumeration Date | 2010-06-29 |
| Last Update Date | 2019-11-05 |