| NPI | 1801294566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELISABETH ANNA WILLIAMS Lmp 951-691-6738 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: WA 1318976) |
| Enumeration Date | 2014-12-11 |
| Last Update Date | 2014-12-11 |