| NPI | 1861450173 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GABRIELA LITT Credentialing COO Rdinator 951-696-9353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2021-04-20 |