| NPI | 1790896579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE HOM Owner 858-456-2114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT 23458) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2011-09-03 |