| NPI | 1902241177 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANNA JEANNE DONOFRIO Owner/Physical Therapist 760-242-7702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: CA PT23516) |
| Enumeration Date | 2013-05-01 |
| Last Update Date | 2013-05-01 |