| NPI | 1881793826 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS ANDREW HENDRICKX Owner 949-475-5777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT20058) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2020-08-22 |