NPI | 1831580794 |
---|---|
Entity Type | Organization |
Authorized Contact | HENRY DAVID HUNT Owner 760-685-2685 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: UT 7654055-2401) |
Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2015-02-13 |
Last Update Date | 2024-06-13 |