| NPI | 1801018155 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL SCOTT KUENNING Managing Director 619-542-1594 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CA PT21309) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |