| NPI | 1841299286 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH ILENE ELMORE-DION Owner 805-207-6808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QP2000X Clinic/Center Physical Therapy |
| 261QP2000X Clinic/Center Physical Therapy (Licence: CA PT21563) | |
| 261QP2000X Clinic/Center Physical Therapy (Licence: CA 21563) | |
| 261QP2000X Clinic/Center Physical Therapy | |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2018-06-16 |