| NPI | 1801457551 |
|---|---|
| Doing Business As | PHYSICAL THERAPY - OC |
| Entity Type | Organization |
| Authorized Contact | NOEL MEDENILLA SANTAYANA COO 949-954-0090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225200000X Physical Therapy Assistant |
| Enumeration Date | 2019-06-24 |
| Last Update Date | 2020-02-18 |