| NPI | 1881096055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY COOK Manager 805-682-3870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CA PT41571) |
| Enumeration Date | 2014-09-19 |
| Last Update Date | 2014-09-19 |