| NPI | 1780943928 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JON MARCHESE President 949-280-4783 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: CA PT17911) |
| Enumeration Date | 2012-05-09 |
| Last Update Date | 2012-05-09 |