| NPI | 1770240533 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE ALLEN FISCHER CFO 619-857-7141 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2021-11-29 |
| Last Update Date | 2022-10-11 |