| NPI | 1902177025 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAYNE BRIAN CENTRA Owner/Occupational Therapist 714-731-4668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QX0100X Clinic/Center Occupational Medicine |
| Additional Taxonomies | 261QH0700X Clinic/Center Hearing and Speech |
| 261QP2000X Clinic/Center Physical Therapy | |
| Enumeration Date | 2012-01-20 |
| Last Update Date | 2014-07-14 |