| NPI | 1801804018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA MILLER Center Manager 619-283-9610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CA OT610) |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2020-08-22 |