| NPI | 1780718221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOB AUBREY VONDUERING President 949-855-0100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2251P0200X Physical Therapist Pediatrics |
| 2251S0007X Physical Therapist Sports | |
| 2251X0800X Physical Therapist Orthopedic | |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2020-08-22 |