| NPI | 1801230461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON BETHKE Operations Manager 949-584-3728 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CA PT36335) |
| Enumeration Date | 2013-04-24 |
| Last Update Date | 2014-04-15 |