| NPI | 1790382422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDSEY PACZKOWSKI Physical Therapist 760-301-6566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Enumeration Date | 2020-10-06 |
| Last Update Date | 2020-10-15 |