| NPI | 1831143031 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK MAKO Owner/Physical Therapist 805-584-0001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2024-12-19 |