| NPI | 1780147330 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR SIMON RUSENESCU Physical Therapist/President 949-379-8400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2019-04-10 |
| Last Update Date | 2019-04-10 |