| NPI | 1902978968 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORDAN ALBRIGHT LARSON Vice President 805-934-0663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: CA PT 21537) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2020-08-22 |