| NPI | 1881925600 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW ADEDAPO ADESIDA Owner 760-951-4811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: CA DC27742) |
| Additional Taxonomies | 261QP2000X Clinic/Center Physical Therapy (Licence: CA AC12285) |
| Enumeration Date | 2010-01-18 |
| Last Update Date | 2010-01-18 |