| NPI | 1811183874 |
|---|---|
| Doing Business As | SOUTHERN CALIFORNIA AQUATIC THERAPY |
| Entity Type | Organization |
| Authorized Contact | JULIE A BERGMANN Owner/CEO 714-375-1755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CA PT16279) |
| Enumeration Date | 2007-09-23 |
| Last Update Date | 2020-07-13 |