| NPI | 1770665630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL FEUERBORN President/Staff Therapist 805-850-0525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: CA AT5146) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2017-07-03 |