| NPI | 1891077327 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE MANULETE FELICIANO Owner 760-889-5557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT 26095) |
| Enumeration Date | 2011-09-11 |
| Last Update Date | 2011-09-11 |