| NPI | 1811008964 |
|---|---|
| Doing Business As | BONITA PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | BRIAN NEILSON C.E.O. 619-422-3970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT 16623) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2022-07-21 |