| NPI | 1790008860 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA JEAN DEVEAU Physical Therapist 619-588-3166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CA 35246) |
| Enumeration Date | 2010-03-03 |
| Last Update Date | 2010-03-03 |