| NPI | 1861765190 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH LESTINO Physical Therapist 619-464-1352 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 33613) |
| Enumeration Date | 2012-02-16 |
| Last Update Date | 2017-03-03 |