| NPI | 1861531469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUDRA RICHEY Office Manager 858-454-9769 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT13574) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2020-08-22 |