| NPI | 1821281775 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL J GILLMAN President 949-499-8558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 137894) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2007-08-23 |
| Last Update Date | 2009-11-02 |