| NPI | 1881879864 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER CARRILLO Physical Therapist 951-487-9317 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: CA PT26426) |
| Enumeration Date | 2008-01-08 |
| Last Update Date | 2019-03-05 |