| NPI | 1801923149 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUERN MILLER BEELER Officer 949-589-1405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA Ca#PT11759) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2020-08-22 |