| NPI | 1780662718 |
|---|---|
| Doing Business As | BROCKTON PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | TREVYN LOY DESPAIN Owner Physical Therapist 951-274-7744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 4384172S) |
| Enumeration Date | 2006-01-09 |
| Last Update Date | 2010-08-10 |