| NPI | 1831357367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOB JAMES GLEASON President 949-542-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CA PT29291) |
| Enumeration Date | 2008-05-31 |
| Last Update Date | 2014-12-03 |